Healthcare Provider Details

I. General information

NPI: 1093810434
Provider Name (Legal Business Name): WEST COAST EYE INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10332 N CITRUS SPRINGS BLVD
CITRUS SPRINGS FL
34434-3217
US

IV. Provider business mailing address

10332 N CITRUS SPRINGS BLVD
CITRUS SPRINGS FL
34434-3217
US

V. Phone/Fax

Practice location:
  • Phone: 352-489-2240
  • Fax: 352-489-2270
Mailing address:
  • Phone: 352-489-2240
  • Fax: 352-489-2270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberOS0004322
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME0060384
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOP1974
License Number StateFL

VIII. Authorized Official

Name: DR. JOHN W ROWDA
Title or Position: PRESIDENT
Credential: DO
Phone: 352-489-2240