Provider Demographics
NPI:1295914323
Name:NORTH FLORIDA EYE CLINIC
Entity type:Organization
Organization Name:NORTH FLORIDA EYE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:904-292-2020
Mailing Address - Street 1:3020 HARTLEY RD
Mailing Address - Street 2:SUITE 190
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-8231
Mailing Address - Country:US
Mailing Address - Phone:904-292-2020
Mailing Address - Fax:
Practice Address - Street 1:3020 HARTLEY RD
Practice Address - Street 2:SUITE 190
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-8231
Practice Address - Country:US
Practice Address - Phone:904-292-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL15640OtherBCBS SHELDON SINGAL
FLCM3870OtherRAILROAD
FL15391OtherBCBS RONALD SINGAL
FL99742OtherMEDICARE PTAN
FL15391ZMedicare PIN
FL15640ZMedicare PIN
FL15391OtherBCBS RONALD SINGAL