Provider Demographics
NPI:1235787441
Name:APEX VISION, INC
Entity Type:Organization
Organization Name:APEX VISION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LUC
Authorized Official - Middle Name:E
Authorized Official - Last Name:KANICKY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:813-495-5116
Mailing Address - Street 1:3249 STONEGATE FALLS DR
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-6195
Mailing Address - Country:US
Mailing Address - Phone:813-495-8883
Mailing Address - Fax:
Practice Address - Street 1:15302 N NEBRASKA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-1448
Practice Address - Country:US
Practice Address - Phone:813-371-9020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-30
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFL3906OtherOPTOMETRY