1154867554 NPI number — CABANA EYES OPTICAL

Table of content: (NPI 1154867554)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154867554 NPI number — CABANA EYES OPTICAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CABANA EYES OPTICAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154867554
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/23/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4100 S FERDON BLVD
Provider Second Line Business Mailing Address:
SUITE B5
Provider Business Mailing Address City Name:
CRESTVIEW
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32536-5252
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
850-306-2580
Provider Business Mailing Address Fax Number:
850-423-0142

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4100 S FERDON BLVD
Provider Second Line Business Practice Location Address:
SUITE B5
Provider Business Practice Location Address City Name:
CRESTVIEW
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32536-5252
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-758-0474
Provider Business Practice Location Address Fax Number:
850-826-0057
Provider Enumeration Date:
01/10/2017

Additional Information

Authorized Official

Authorized Official Last Name:
MITCHELL
Authorized Official First Name:
EDWARD
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/ VISUAL RESOURCE DIRECTOR
Authorized Official Telephone Number:
850-758-0474

Provider Taxonomy Codes

  • Taxonomy code: 261QM2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 003088900 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 105174800 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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