Provider Demographics
NPI:1639349830
Name:CRAIG, ESTHER KOVACS (OD)
Entity Type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:KOVACS
Last Name:CRAIG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 BUNKER VIEW DR
Mailing Address - Street 2:
Mailing Address - City:APOLLO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33572-2813
Mailing Address - Country:US
Mailing Address - Phone:210-724-9553
Mailing Address - Fax:813-489-2497
Practice Address - Street 1:242 HARBOR VILLAGE LN
Practice Address - Street 2:
Practice Address - City:APOLLO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33572-3424
Practice Address - Country:US
Practice Address - Phone:813-645-2022
Practice Address - Fax:813-489-2497
Is Sole Proprietor?:No
Enumeration Date:2008-03-04
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7190TG152W00000X
FLOPC6215152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB163651Medicare UPIN
TXTXB163652Medicare UPIN