MEDICARE: WEST COAST EYE INSTITUTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	OS0004322	FL
2	207W00000X	Ophthalmology Physician	ME0060384	FL
3	152W00000X	Optometrist	OP1974	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	40218	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1093810434
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST COAST EYE INSTITUTE

Provider Business Mailing Address
First Line	:	10332 N CITRUS SPRINGS BLVD
Second Line	:
City	:	CITRUS SPRINGS
State	:	FL
Zip	:	34434-3217
Country	:	US
Telephone Number	:	352-489-2240
Fax Number	:	352-489-2270

Provider Business Practice Location Address
First Line	:	10332 N CITRUS SPRINGS BLVD
Second Line	:
City	:	CITRUS SPRINGS
State	:	FL
Zip	:	34434-3217
Country	:	US
Telephone Number	:	352-489-2240
Fax Number	:	352-489-2270

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOHN W ROWDA
Credential	:	DO
Telephone Number	:	352-489-2240

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	09/11/2025

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Directions to “WEST COAST EYE INSTITUTE ” Practice Location

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