Provider Demographics
NPI:1386892925
Name:PASSARO EYECARE INC
Entity type:Organization
Organization Name:PASSARO EYECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:PASSARO
Authorized Official - Suffix:JR
Authorized Official - Credentials:OD
Authorized Official - Phone:727-534-3726
Mailing Address - Street 1:8840 KEATS DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-6599
Mailing Address - Country:US
Mailing Address - Phone:727-534-3726
Mailing Address - Fax:727-847-3937
Practice Address - Street 1:6847 STATE ROAD 54
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-6032
Practice Address - Country:US
Practice Address - Phone:727-848-2020
Practice Address - Fax:727-847-3937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-08
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3549152W00000X
FL3498152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty