Provider Demographics
NPI:1548727381
Name:EYE & EAR OF WELLINGTON LLC
Entity type:Organization
Organization Name:EYE & EAR OF WELLINGTON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:561-964-1333
Mailing Address - Street 1:11924 FOREST HILL BLVD STE 31
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-6258
Mailing Address - Country:US
Mailing Address - Phone:561-798-8282
Mailing Address - Fax:561-798-2840
Practice Address - Street 1:11924 WEST FOREST HILL BLVD STE 31
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-6258
Practice Address - Country:US
Practice Address - Phone:561-798-8282
Practice Address - Fax:561-798-2840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-28
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty