Provider Demographics
NPI:1801993084
Name:PATERSON EYE CARE INC
Entity type:Organization
Organization Name:PATERSON EYE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:KANIARIS
Authorized Official - Last Name:PATERSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:407-474-2222
Mailing Address - Street 1:1149 DEER LAKE CIR
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-2940
Mailing Address - Country:US
Mailing Address - Phone:407-474-2222
Mailing Address - Fax:407-884-8211
Practice Address - Street 1:2501 CITRUS BLVD
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-7204
Practice Address - Country:US
Practice Address - Phone:352-326-3393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 004048152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty