Organization · NPI-2

Brandon Eye Associates PA

Ophthalmology · Brandon, FL

NPI number1215969357

StatusActive

Last updated in NPPESApr 25, 2019

Details

NPI: 1215969357
Entity type: Organization (NPI-2)
Legal business name: Brandon Eye Associates PA
Organization subpart: No
Enumeration date: Jul 7, 2006
Last updated: Apr 25, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207W00000X	Ophthalmology	–	–	Yes
152W00000X	Optometrist	–	–

Other names

Brandon Eye Associates (Doing Business As)

Practice location

540 Medical Oaks Ave
Suite 103
Brandon, FL 33511-5995

Phone 813-684-2211 · Fax 813-655-7669

Mailing address

540 Medical Oaks Ave
Suite 103
Brandon, FL 33511-5995

Phone 813-684-2211 · Fax 813-655-7669

Other practice locations

105 Southern Oaks Dr
Plant City, FL 33563-1451

Phone 813-754-1869 · Fax 813-759-8570

779 Cortaro Dr
Sun City Center, FL 33573-6812

Phone 813-213-0020 · Fax 813-642-7357

Authorized official

Michelle Fleshner
Administrator
8136842211

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