Provider Demographics
NPI:1285407791
Name:FIRST PATIENT EYE CARE
Entity type:Organization
Organization Name:FIRST PATIENT EYE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GUERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:FAUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-443-4844
Mailing Address - Street 1:600 N CONGRESS AVE STE 560
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-3463
Mailing Address - Country:US
Mailing Address - Phone:561-266-3487
Mailing Address - Fax:561-266-3447
Practice Address - Street 1:600 N CONGRESS AVE STE 560
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-3463
Practice Address - Country:US
Practice Address - Phone:561-266-3487
Practice Address - Fax:561-266-3447
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRST PATIENT CARE CLINIC,INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center