Provider Demographics
NPI:1588726640
Name:DREXLER EYE CARE ASSOCIATES, P.A.
Entity type:Organization
Organization Name:DREXLER EYE CARE ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:D
Authorized Official - Last Name:DREXLER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:727-791-1214
Mailing Address - Street 1:2551 DREW ST.
Mailing Address - Street 2:SUITE #302
Mailing Address - City:CLEARWATER
Mailing Address - State:LA
Mailing Address - Zip Code:33765
Mailing Address - Country:US
Mailing Address - Phone:727-791-1214
Mailing Address - Fax:727-791-0597
Practice Address - Street 1:2551 DREW ST.
Practice Address - Street 2:SUITE #302
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765
Practice Address - Country:US
Practice Address - Phone:727-791-1214
Practice Address - Fax:727-791-0597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2235152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL620067200Medicaid
FLU51435Medicare UPIN
FL20510ZMedicare ID - Type Unspecified