Provider Demographics
NPI:1861030595
Name:CHOCRON EYE CENTER, P.A.
Entity Type:Organization
Organization Name:CHOCRON EYE CENTER, P.A.
Other - Org Name:HOLLYWOOD EYE CENTER, P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHOCRON KASWAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-277-0991
Mailing Address - Street 1:3201 NE 183RD ST APT 2206
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2896
Mailing Address - Country:US
Mailing Address - Phone:786-277-0991
Mailing Address - Fax:
Practice Address - Street 1:2100 E HALLANDALE BEACH BLVD STE 403
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-3772
Practice Address - Country:US
Practice Address - Phone:954-342-6399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-12
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty