Provider Demographics
NPI:1215102710
Name:ALLIED EYECARE, LLC
Entity type:Organization
Organization Name:ALLIED EYECARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:SAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-418-4414
Mailing Address - Street 1:19321 US HIGHWAY 19 N # C
Mailing Address - Street 2:SUITE 320
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-3169
Mailing Address - Country:US
Mailing Address - Phone:727-538-7719
Mailing Address - Fax:727-538-4255
Practice Address - Street 1:3290 PINE ORCHARD LN
Practice Address - Street 2:SUITE D
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-2374
Practice Address - Country:US
Practice Address - Phone:410-418-4414
Practice Address - Fax:443-574-1134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service