Provider Demographics
NPI:1336443332
Name:JAMES EUGENIDES OD PA
Entity type:Organization
Organization Name:JAMES EUGENIDES OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:EUGENIDES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:941-475-7991
Mailing Address - Street 1:1800 PLACIDA RD
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34223-4912
Mailing Address - Country:US
Mailing Address - Phone:941-475-7991
Mailing Address - Fax:941-475-2066
Practice Address - Street 1:1800 PLACIDA RD
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34223-4912
Practice Address - Country:US
Practice Address - Phone:941-475-7991
Practice Address - Fax:941-475-2066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-05
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2233152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty