Provider Demographics
NPI:1841935954
Name:EYE CARE GENETICS
Entity type:Organization
Organization Name:EYE CARE GENETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GERRY
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BELGRAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:647-281-1545
Mailing Address - Street 1:747 SW 2ND AVENUE SUITE 329
Mailing Address - Street 2:IMB 15A
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601
Mailing Address - Country:US
Mailing Address - Phone:866-964-5182
Mailing Address - Fax:866-964-5184
Practice Address - Street 1:747 SW 2ND AVENUE SUITE 329
Practice Address - Street 2:IMB 15A
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601
Practice Address - Country:US
Practice Address - Phone:866-964-5182
Practice Address - Fax:866-964-5184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory