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General NPI Number Information
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NPI Number | 1548274061
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Entity Type | Organization
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Legal Business Name | EYE INSTITUTE SURGERY CENTER, LLC
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 03/30/2025
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Provider Practice Location Address
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Address Line | 1995 W NASA BLVD SUITE100
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City | MELBOURNE
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State | FL
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Zip | 32904-2300
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Country | US
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Telephone | 321-722-4443
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Fax | 321-722-2334
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Provider Business Mailing Address
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Address Line | 1995 W NASA BLVD SUITE100
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City | MELBOURNE
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State | FL
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Zip | 32904-2300
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Country | US
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Telephone | 321-722-4443
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Fax | 321-722-2334
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Authorized Official
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Title or Position | CFO
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Name | JAMES N MCMANUS
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Credential | MD
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Telephone | 321-749-1446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 1223
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License Number State | FL
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