Provider Demographics
NPI:1922574037
Name:PRIMERA EYE CARE LLC
Entity Type:Organization
Organization Name:PRIMERA EYE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BEVER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:407-821-3345
Mailing Address - Street 1:800 CURRENCY CIR UNIT 1010
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-2184
Mailing Address - Country:US
Mailing Address - Phone:407-821-3345
Mailing Address - Fax:
Practice Address - Street 1:800 CURRENCY CIR UNIT 1010
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-2184
Practice Address - Country:US
Practice Address - Phone:407-491-8330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-16
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty