Provider Demographics
NPI:1851555973
Name:NAZARIO EYE ASSOCIATES, OD, PA
Entity Type:Organization
Organization Name:NAZARIO EYE ASSOCIATES, OD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAZARIO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:407-324-3633
Mailing Address - Street 1:101 HOWLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32738-9200
Mailing Address - Country:US
Mailing Address - Phone:407-324-3633
Mailing Address - Fax:407-328-9370
Practice Address - Street 1:101 HOWLAND BLVD
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32738-9200
Practice Address - Country:US
Practice Address - Phone:407-324-3633
Practice Address - Fax:407-328-9370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC003977152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty