Provider Demographics
NPI:1609876986
Name:CENTRAL FLORIDA EYE INSTITUTE PL
Entity Type:Organization
Organization Name:CENTRAL FLORIDA EYE INSTITUTE PL
Other - Org Name:THOMAS L. CROLEY, MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:LLOYD
Authorized Official - Last Name:CROLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-237-8400
Mailing Address - Street 1:3133 SW 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-4446
Mailing Address - Country:US
Mailing Address - Phone:352-237-8400
Mailing Address - Fax:352-237-7190
Practice Address - Street 1:3133 SW 32ND AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-4446
Practice Address - Country:US
Practice Address - Phone:352-237-8400
Practice Address - Fax:352-237-7190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0018124207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL42208OtherBCBSFL PERSONAL ID
FL99115OtherBCBSFL GROUP ID
FLP00093643OtherRR MEDICARE PERSONAL ID
FLDB2261OtherRR MEDICARE GROUP ID
FL42208OtherBCBSFL PERSONAL ID
FLDB2261OtherRR MEDICARE GROUP ID
FLP00093643OtherRR MEDICARE PERSONAL ID