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Contact Information

SOUTH WALTON EYECARE LLC
13625 E. EMERALD COAST PKWY
UNIT 4
INLET BEACH, FL32461
 Phone: 850-427-2002
 Fax: 850-696-0393
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SOUTH WALTON EYECARE LLC

NPI # 1619537123
LBN Legal business name SOUTH WALTON EYECARE LLC
Authorized official BO YUNG KING - (OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2019
Last updated 06/17/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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