Healthcare Provider Details

I. General information

NPI: 1427715713
Provider Name (Legal Business Name): EYECARE NOW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2021
Last Update Date: 11/23/2021
Certification Date: 11/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1874 W HILLSBORO BLVD STE F
DEERFIELD BEACH FL
33442-1420
US

IV. Provider business mailing address

10833 LAKE WYNDS CT
BOYNTON BEACH FL
33437-3238
US

V. Phone/Fax

Practice location:
  • Phone: 561-600-8389
  • Fax:
Mailing address:
  • Phone: 917-622-9712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YITZ WARSHAWSKY
Title or Position: OWNER
Credential:
Phone: 561-600-8389