Fleming Island 2020 Pa

LBN: Fleming Island 2020 Pa
Fleming Island 2020 Pa is an health care organization with primary practice located at 1505 County Road 220 , Orange Park FL 32003-7926. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Fleming Island 2020 Pa can be contacted via phone (904) 215-3005, or through Kapadia, Sharokh via phone (904) 287-9137.

Contact Information

Primary practice address
1505 County Road 220 Orange Park FL 32003-7926
Phone: (904) 215-3005
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kapadia, Sharokh Doctor of Optometry (OD)
Phone: (904) 287-9137

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC3241 Florida
Eye and Vision Services Providers / Optometrist 152W00000X OPC3594 Florida

Profile Details

NPI number 1881852291
LBN Legal business name Fleming Island 2020 Pa
DBA Doing business as
Authorized official Kapadia, Sharokh Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2008
Last updated Feb 3rd, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881852291 NPPES
Florida MEDICAID 620800200
Florida MEDICAID 620801100

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