Provider Demographics
NPI:1104850122
Name:WEST FLORIDA OPHTHALMOLOGY INC
Entity Type:Organization
Organization Name:WEST FLORIDA OPHTHALMOLOGY INC
Other - Org Name:THE EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:T
Authorized Official - Last Name:MULLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-216-2020
Mailing Address - Street 1:3155 CURLEW RD
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-2606
Mailing Address - Country:US
Mailing Address - Phone:727-216-2020
Mailing Address - Fax:727-216-1173
Practice Address - Street 1:3155 CURLEW RD
Practice Address - Street 2:
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-2606
Practice Address - Country:US
Practice Address - Phone:727-216-2020
Practice Address - Fax:727-216-1173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No332H00000XSuppliersEyewear SupplierGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6710800001OtherMEDICARE DME PTAN
FLDF5741OtherRAILROAD MEDICARE
FLDF5741OtherRAILROAD MEDICARE