Provider Demographics
NPI:1699826610
Name:RAINBOW EYE CENTER PA
Entity Type:Organization
Organization Name:RAINBOW EYE CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:H
Authorized Official - Last Name:SCHECTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-893-9201
Mailing Address - Street 1:11077 BISCAYNE BLVD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-7418
Mailing Address - Country:US
Mailing Address - Phone:305-893-9201
Mailing Address - Fax:305-893-9953
Practice Address - Street 1:11077 BISCAYNE BLVD
Practice Address - Street 2:SUITE 303
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-7418
Practice Address - Country:US
Practice Address - Phone:305-893-9201
Practice Address - Fax:305-893-9953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC0002560152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK4244OtherPTAN