Provider Demographics
NPI:1306863352
Name:AKER KASTEN EYE CENTER
Entity Type:Organization
Organization Name:AKER KASTEN EYE CENTER
Other - Org Name:AKER KASTEN EYE CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-338-7722
Mailing Address - Street 1:1445 NW BOCA RATON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-1610
Mailing Address - Country:US
Mailing Address - Phone:561-338-7722
Mailing Address - Fax:561-886-1035
Practice Address - Street 1:1445 NW BOCA RATON BLVD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-1610
Practice Address - Country:US
Practice Address - Phone:561-338-7722
Practice Address - Fax:561-886-1035
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AKER KASTEN EYE CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-16
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL77174332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0987730001Medicare NSC
FL77174Medicare ID - Type Unspecified