North Florida Regional Eyecare, PA

Organization Active NPI Ophthalmology Physician · Tallahassee, FL

NPI 1902190895 · NPPES record last updated Jan 9, 2017

Key facts

NPI
1902190895
Entity type
Organization (NPI type 2)
Primary specialty
Ophthalmology Physician 207W00000X
License
ME71349 (FL)
Legal business name
NORTH FLORIDA REGIONAL EYECARE, PA
Practice address
1905 Capital Cir NE
Tallahassee, FL 32308-4421
Phone
(850) 222-3937
Fax
(850) 877-0206
NPI assigned
Jun 8, 2011
Organization subpart
No

Authorized official

Name
James A Stephens, OD
Title
President
Phone
(850) 893-4005

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
James a Stephens OD Associates PA (5 organizations share this tax ID)

Locations

1400 Village Square Blvd
Ste 3165
Tallahassee, FL 32312

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193200000X MULTI-SPECIALTY GROUP
152W00000X OPC935 FL
Ophthalmology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207W00000X ME71349 FL Yes

Addresses

Primary practice location

1905 Capital Cir NE
Tallahassee, FL 32308-4421

Mailing address

1400 Village Square Blvd
Suite 3-165
Tallahassee, FL 32312-1250
Phone (850) 222-3937

Other identifiers

IdentifierTypeStateIssuer
24269OtherFLBCBS
620174100MedicaidFL

Other providers in Tallahassee, FL

All providers in Tallahassee, FL · Ophthalmology Physician in Florida

Sources for this page

Verify at the official NPI Registry.