Healthcare Provider Details

I. General information

NPI: 1962232959
Provider Name (Legal Business Name): PATRICK FAMILY EYE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2024
Last Update Date: 08/05/2024
Certification Date: 08/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 S PATRICK DR BLDG 1364
PATRICK AFB FL
32925-3623
US

IV. Provider business mailing address

1221 S PATRICK DR BLDG 1364
PATRICK AFB FL
32925-3623
US

V. Phone/Fax

Practice location:
  • Phone: 321-783-5580
  • Fax:
Mailing address:
  • Phone: 908-229-6655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. KEVIN JOSEPH HRABINSKI
Title or Position: OPTOMETRIST / OWNER
Credential: OD
Phone: 908-229-6655