Provider Demographics
NPI:1457520975
Name:EYECARE ASSOCIATES OF CARROLLWOOD PA
Entity Type:Organization
Organization Name:EYECARE ASSOCIATES OF CARROLLWOOD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:AFSORDEH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:727-586-5888
Mailing Address - Street 1:10500 ULMERTON RD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-3544
Mailing Address - Country:US
Mailing Address - Phone:727-586-5888
Mailing Address - Fax:727-585-4205
Practice Address - Street 1:11921 N DALE MABRY HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-3512
Practice Address - Country:US
Practice Address - Phone:813-963-1008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-28
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3863152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty