Provider Demographics
NPI:1124596036
Name:ELITE HEALTH EYE CARE
Entity Type:Organization
Organization Name:ELITE HEALTH EYE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHNUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-672-9989
Mailing Address - Street 1:1700 79TH STREET CSWY STE 120
Mailing Address - Street 2:
Mailing Address - City:NORTH BAY VILLAGE
Mailing Address - State:FL
Mailing Address - Zip Code:33141-4197
Mailing Address - Country:US
Mailing Address - Phone:305-726-2177
Mailing Address - Fax:305-726-2209
Practice Address - Street 1:1700 79TH STREET CSWY STE 120
Practice Address - Street 2:
Practice Address - City:NORTH BAY VILLAGE
Practice Address - State:FL
Practice Address - Zip Code:33141-4197
Practice Address - Country:US
Practice Address - Phone:305-726-2177
Practice Address - Fax:305-726-2209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-08
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty