Provider Demographics
NPI:1689780991
Name:CAPITAL EYE CONSULTANTS, PA
Entity Type:Organization
Organization Name:CAPITAL EYE CONSULTANTS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:POKU
Authorized Official - Last Name:APPIAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-201-4939
Mailing Address - Street 1:2280 WEDNESDAY ST
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4387
Mailing Address - Country:US
Mailing Address - Phone:850-201-4733
Mailing Address - Fax:850-201-4939
Practice Address - Street 1:2280 WEDNESDAY STREET
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308
Practice Address - Country:US
Practice Address - Phone:850-201-4733
Practice Address - Fax:850-201-4939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL062065300Medicaid
FL252685900Medicaid