Provider Demographics
NPI:1972718807
Name:EYE ASSOCIATES OF BOCA RATON, P.A.
Entity type:Organization
Organization Name:EYE ASSOCIATES OF BOCA RATON, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:NANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARENDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-391-8300
Mailing Address - Street 1:950 NW 13TH ST
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2310
Mailing Address - Country:US
Mailing Address - Phone:561-391-8300
Mailing Address - Fax:561-391-3744
Practice Address - Street 1:950 NW 13TH ST
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2310
Practice Address - Country:US
Practice Address - Phone:561-391-8300
Practice Address - Fax:561-391-3744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD54210Medicare UPIN
FLF83499Medicare UPIN
FL0939550001Medicare NSC
FLF48142Medicare UPIN
FL24480Medicare PIN
FLH89065Medicare UPIN
FLE86370Medicare UPIN
FLD55815Medicare UPIN
FLT84239Medicare UPIN