Provider Demographics
NPI:1477622546
Name:ALTAMONTE EYE CARE, INC
Entity type:Organization
Organization Name:ALTAMONTE EYE CARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:WARREN
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:407-671-2020
Mailing Address - Street 1:931 N STATE ROAD 434
Mailing Address - Street 2:#1140
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-7022
Mailing Address - Country:US
Mailing Address - Phone:407-671-2020
Mailing Address - Fax:
Practice Address - Street 1:931 N STATE ROAD 434
Practice Address - Street 2:#1140
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-7022
Practice Address - Country:US
Practice Address - Phone:407-671-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 2556152W00000X, 152WC0802X, 152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Not Answered152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Not Answered152WP0200XEye and Vision Services ProvidersOptometristPediatricsGroup - Single Specialty