Provider Demographics
NPI:1053510792
Name:ASSOCIATED EYECARE CENTERS PA
Entity Type:Organization
Organization Name:ASSOCIATED EYECARE CENTERS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZARUCHES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:561-789-3868
Mailing Address - Street 1:5456 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33351-5006
Mailing Address - Country:US
Mailing Address - Phone:561-789-3868
Mailing Address - Fax:
Practice Address - Street 1:5456 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33351-5006
Practice Address - Country:US
Practice Address - Phone:561-789-3868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2462261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service