Provider Demographics
NPI:1073510517
Name:OPHTHALMIC CONSULTANTS PA
Entity Type:Organization
Organization Name:OPHTHALMIC CONSULTANTS PA
Other - Org Name:ARCACHA & SNYDER M.D. P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-952-0900
Mailing Address - Street 1:1700 S TUTTLE AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-3110
Mailing Address - Country:US
Mailing Address - Phone:941-952-0900
Mailing Address - Fax:941-365-6051
Practice Address - Street 1:1700 S TUTTLE AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3110
Practice Address - Country:US
Practice Address - Phone:941-952-0900
Practice Address - Fax:941-365-6051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651806OtherMED MUT OF MA GRP NUMBER
FLZA3499OtherBCBS/MA GRP NUMBER
FL590922OtherBCBS/PA GRP NUMBER
FL651806OtherMED MUT OF MA GRP NUMBER
FL97960AMedicare ID - Type UnspecifiedBTN GROUP NUMBER
FLZA3499OtherBCBS/MA GRP NUMBER
FL651806OtherMED MUT OF MA GRP NUMBER
FL590922OtherBCBS/PA GRP NUMBER