=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841178175
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KEY BISCAYNE EYE ASSOCIATES, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/25/2025
-----------------------------------------------------
Last Update Date | 08/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 260 CRANDON BLVD STE 44
-----------------------------------------------------
City | KEY BISCAYNE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33149-1538
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-361-7455
-----------------------------------------------------
Fax | 305-361-8973
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 260 CRANDON BLVD STE 44
-----------------------------------------------------
City | KEY BISCAYNE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33149-1538
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-361-7455
-----------------------------------------------------
Fax | 305-361-8973
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. PANTEA ATAROD
-----------------------------------------------------
Credential | DO
-----------------------------------------------------
Telephone | 305-725-7344
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------