Provider Demographics
NPI:1437339397
Name:NASH CATARACT & LASER INSTITUTE P A
Entity Type:Organization
Organization Name:NASH CATARACT & LASER INSTITUTE P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:A
Authorized Official - Last Name:NASH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-629-3937
Mailing Address - Street 1:18401 MURDOCK CIR
Mailing Address - Street 2:SUITE A
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33948-1088
Mailing Address - Country:US
Mailing Address - Phone:941-629-3937
Mailing Address - Fax:941-627-2281
Practice Address - Street 1:18401 MURDOCK CIR
Practice Address - Street 2:SUITE A
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33948-1088
Practice Address - Country:US
Practice Address - Phone:941-629-3937
Practice Address - Fax:941-627-2281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-08
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCB3716OtherRAILROAD MEDICARE
FLCB3716OtherRAILROAD MEDICARE
FLK0330Medicare PIN