Provider Demographics
NPI:1710767645
Name:FAMILY EYE CARE, LLC
Entity Type:Organization
Organization Name:FAMILY EYE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HERSKOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:917-674-7457
Mailing Address - Street 1:13506 SUMMERPORT VILLAGE PKWY STE 254
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-7366
Mailing Address - Country:US
Mailing Address - Phone:917-674-7457
Mailing Address - Fax:954-208-7456
Practice Address - Street 1:2500 S KIRKMAN RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-2345
Practice Address - Country:US
Practice Address - Phone:917-674-7457
Practice Address - Fax:954-208-7456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty