Provider Demographics
NPI:1851847826
Name:EYE PHYSICIANS AND SURGEONS OF FLORIDA
Entity Type:Organization
Organization Name:EYE PHYSICIANS AND SURGEONS OF FLORIDA
Other - Org Name:SNEAD EYE GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHESTER-HAMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-936-8686
Mailing Address - Street 1:4790 BARKLEY CIR STE C103
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-7593
Mailing Address - Country:US
Mailing Address - Phone:239-936-8686
Mailing Address - Fax:239-936-2532
Practice Address - Street 1:15205 COLLIER BLVD # 101102
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-6769
Practice Address - Country:US
Practice Address - Phone:239-348-7145
Practice Address - Fax:239-348-7619
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EYE PHYSICIANS AND SURGEONS OF FLORIDA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-30
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier