Provider Demographics
NPI:1942260534
Name:AKER KASTEN EYE CENTER
Entity Type:Organization
Organization Name:AKER KASTEN EYE CENTER
Other - Org Name:AKER KASTEN SURGICAL EYE CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRACTICE DEVELOPEMENT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:H
Authorized Official - Last Name:DIRICO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-886-1025
Mailing Address - Street 1:1445 NW BOCA RATON BLVD
Mailing Address - Street 2:AKER KASTEN EYE CENTER
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33064
Mailing Address - Country:US
Mailing Address - Phone:561-338-7722
Mailing Address - Fax:561-338-7785
Practice Address - Street 1:1445 NW BOCA RATON BLVD
Practice Address - Street 2:AKER KASTEN EYE CENTER
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33064
Practice Address - Country:US
Practice Address - Phone:561-338-7722
Practice Address - Fax:561-338-7785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL77027Medicaid
FL77027Medicaid