Provider Demographics
NPI:1962025544
Name:CENTRAL EYE ASSOCIATES
Entity Type:Organization
Organization Name:CENTRAL EYE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:CALEB
Authorized Official - Middle Name:
Authorized Official - Last Name:SAINT JEAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:813-563-2107
Mailing Address - Street 1:4940 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33707-1941
Mailing Address - Country:US
Mailing Address - Phone:727-321-6600
Mailing Address - Fax:
Practice Address - Street 1:4940 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33707-1941
Practice Address - Country:US
Practice Address - Phone:727-321-6600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-18
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty