Provider Demographics
NPI:1114320041
Name:HEALTHKONSCIOUS EYE CARE INC
Entity Type:Organization
Organization Name:HEALTHKONSCIOUS EYE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN M
Authorized Official - Middle Name:MICHAELINE
Authorized Official - Last Name:MALCOLM-GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:954-802-6033
Mailing Address - Street 1:7973 NW 70TH AVE
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-3972
Mailing Address - Country:US
Mailing Address - Phone:954-802-6033
Mailing Address - Fax:
Practice Address - Street 1:10057 SUNSET STRIP STE B
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33322-5301
Practice Address - Country:US
Practice Address - Phone:954-749-5882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4717152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty