Vassallo Eye Institute Pa

LBN: Vassallo Eye Institute Pa
Vassallo Eye Institute Pa is an health care organization with primary practice located at 3780 Us Highway 1 S , St Augustine FL 32086-7150. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Vassallo Eye Institute Pa can be contacted via phone (904) 797-7722, or through Vassallo, John M via phone (904) 797-7722.

Contact Information

Primary practice address
3780 Us Highway 1 S St Augustine FL 32086-7150
Phone: (904) 797-7722
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vassallo, John M Doctor of Medicine (MD)
Phone: (904) 797-7722

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME59092 Florida

Profile Details

NPI number 1730359043
LBN Legal business name Vassallo Eye Institute Pa
DBA Doing business as
Authorized official Vassallo, John M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2008
Last updated Mar 12th, 2014 - about 12 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 1730359043 NPPES
Florida Other 12416 BCBS
Florida MEDICAID 006438501 BCBS
Florida MEDICAID 006438500 BCBS

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