MEDICARE: EYE ASSOCIATES OF TALLAHASSEE, P.A. DBA EYE ASSOCIATES OF NORTH FLORIDA

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	39777	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0539810001	OTHER	SC	PALMETTO GBA MEDICARE P&B

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	180259984	OTHER	GA	TRAVELER'S RAILROAD MED.
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750388203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE ASSOCIATES OF TALLAHASSEE, P.A. DBA EYE ASSOCIATES OF NORTH FLORIDA

Provider Business Mailing Address
First Line	:	2020 FLEISCHMANN RD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-4599
Country	:	US
Telephone Number	:	850-878-6161
Fax Number	:	850-656-0200

Provider Business Practice Location Address
First Line	:	2020 FLEISCHMANN RD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-4677
Country	:	US
Telephone Number	:	850-878-6161
Fax Number	:	850-656-0200

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DEANNA LOUIE JR.
Credential	:	M.D.
Telephone Number	:	850-878-6161

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	01/23/2026

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