Provider Demographics
NPI:1790428142
Name:AMANDA GEARY OD LLC
Entity Type:Organization
Organization Name:AMANDA GEARY OD LLC
Other - Org Name:FIRST SIGHT EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:GEARY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:954-540-1419
Mailing Address - Street 1:2540 7TH ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33704-3308
Mailing Address - Country:US
Mailing Address - Phone:954-540-1419
Mailing Address - Fax:
Practice Address - Street 1:2126 1ST AVE S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33712-1204
Practice Address - Country:US
Practice Address - Phone:954-540-1419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMANDA GEARY OD LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-14
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service