Provider Demographics
NPI:1497805253
Name:GUZMAN OCULAR CENTER, INC.
Entity Type:Organization
Organization Name:GUZMAN OCULAR CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIOLETA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-375-7448
Mailing Address - Street 1:4010 W NEWBERRY RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-4818
Mailing Address - Country:US
Mailing Address - Phone:352-375-7448
Mailing Address - Fax:
Practice Address - Street 1:4010 W NEWBERRY RD
Practice Address - Street 2:SUITE H
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-4818
Practice Address - Country:US
Practice Address - Phone:352-375-7448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0464430001Medicare NSC