Provider Demographics
NPI:1689161259
Name:B&B FLORIDA EYE CARE PLLC
Entity Type:Organization
Organization Name:B&B FLORIDA EYE CARE PLLC
Other - Org Name:FLORIDA EYE CARE- CLEARWATER (GULF TO BAY)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:M
Authorized Official - Last Name:BUTCHER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:813-392-3636
Mailing Address - Street 1:13553 STATE ROAD 54 PMB 303
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:FL
Mailing Address - Zip Code:33556-3527
Mailing Address - Country:US
Mailing Address - Phone:405-509-3217
Mailing Address - Fax:
Practice Address - Street 1:2670 GULF TO BAY BLVD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33759-3901
Practice Address - Country:US
Practice Address - Phone:727-777-4546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:B&B FLORIDA EYE CARE PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-04-18
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC5309152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty