Provider Demographics
NPI:1720107857
Name:WORSLEY EYE CENTER
Entity Type:Organization
Organization Name:WORSLEY EYE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATALIYA
Authorized Official - Middle Name:A
Authorized Official - Last Name:WORSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-443-3335
Mailing Address - Street 1:9930 NW 6TH CT
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6156
Mailing Address - Country:US
Mailing Address - Phone:954-443-3335
Mailing Address - Fax:954-443-3371
Practice Address - Street 1:9930 NW 6TH CT
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6156
Practice Address - Country:US
Practice Address - Phone:954-443-3335
Practice Address - Fax:954-443-3371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3752152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6211113000Medicaid
FLU96820Medicare UPIN
FLK7093Medicare ID - Type Unspecified