Provider Demographics
NPI:1366834467
Name:VISION CARE FLORIDA, LLC
Entity Type:Organization
Organization Name:VISION CARE FLORIDA, LLC
Other - Org Name:RUTKOWSKY EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:401-438-4447
Mailing Address - Street 1:5005 MANATEE AVE W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-3857
Mailing Address - Country:US
Mailing Address - Phone:941-794-1315
Mailing Address - Fax:941-792-5034
Practice Address - Street 1:5005 MANATEE AVE W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-3857
Practice Address - Country:US
Practice Address - Phone:941-794-1315
Practice Address - Fax:941-792-5034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-26
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty