Provider Demographics
NPI:1821814294
Name:ACCESSIBLE EYE CARE LLC
Entity type:Organization
Organization Name:ACCESSIBLE EYE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAS HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:407-346-0091
Mailing Address - Street 1:4045 FENNEC LN
Mailing Address - Street 2:
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32927-2934
Mailing Address - Country:US
Mailing Address - Phone:407-346-0091
Mailing Address - Fax:407-650-2595
Practice Address - Street 1:880 N HIGHWAY A1A
Practice Address - Street 2:
Practice Address - City:INDIALANTIC
Practice Address - State:FL
Practice Address - Zip Code:32903-3054
Practice Address - Country:US
Practice Address - Phone:321-729-4340
Practice Address - Fax:407-650-2595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty