Salomon Eye Care Pa

LBN: Salomon Eye Care Pa
Salomon Eye Care Pa is an health care organization with primary practice located at 570 Avenue K Se , Winter Haven FL 33880-4203. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Salomon Eye Care Pa can be contacted via phone (863) 401-4200, or through Salomon, Carly N via phone (863) 401-4200.

Contact Information

Primary practice address
570 Avenue K Se Winter Haven FL 33880-4203
Phone: (863) 401-4200
Fax: (863) 220-9912
Website:
Map and Directions
Authorized official contact:
Name: Salomon, Carly N Doctor of Optometry (OD)
Phone: (863) 401-4200

Health care specialties

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

Profile Details

NPI number 1609469352
LBN Legal business name Salomon Eye Care Pa
DBA Doing business as
Authorized official Salomon, Carly N Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2021
Last updated Jun 7th, 2021 - about 5 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 1609469352 NPPES
Florida MEDICAID 109904700

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