Provider Demographics
NPI:1710225438
Name:VENICE EYE CARE INC.
Entity Type:Organization
Organization Name:VENICE EYE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:RAGOZZINO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:941-497-5555
Mailing Address - Street 1:11643 DANCING RIVER DR
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34292-4123
Mailing Address - Country:US
Mailing Address - Phone:941-497-5555
Mailing Address - Fax:941-497-9833
Practice Address - Street 1:4150 TAMIAMI TRL S
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-5130
Practice Address - Country:US
Practice Address - Phone:941-497-5555
Practice Address - Fax:941-497-2369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-30
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 4087152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty