Central Park Vision Center

LBN: Michael Holifield Od Pa
Central Park Vision Center is an health care organization with primary practice located at 9711 W Broward Blvd , Plantation FL 33324-2309. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Michael Holifield Od Pa can be contacted via phone (954) 474-1374, or through Holifield, Michael via phone (954) 474-1374.

Contact Information

Primary practice address
9711 W Broward Blvd Plantation FL 33324-2309
Phone: (954) 474-1374
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holifield, Michael Doctor of Optometry (OD)
Phone: (954) 474-1374

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X FL 3238 Florida

Profile Details

NPI number 1902947690
LBN Legal business name Michael Holifield Od Pa
DBA Doing business as Central Park Vision Center
Authorized official Holifield, Michael Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Oct 18th, 2012 - about 14 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 1902947690 NPPES
Florida MEDICAID 620824000

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