Provider Demographics
NPI:1871542738
Name:STEIN EYE CARE, INC.
Entity type:Organization
Organization Name:STEIN EYE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:S
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-301-2020
Mailing Address - Street 1:906B MAR WALT DR
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32547-6752
Mailing Address - Country:US
Mailing Address - Phone:850-301-2020
Mailing Address - Fax:850-301-2023
Practice Address - Street 1:906B MAR WALT DR
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-6752
Practice Address - Country:US
Practice Address - Phone:850-301-2020
Practice Address - Fax:850-301-2023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 55866207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1871542738OtherDR. KAREN STEIN'S BUSINESS NPI
FL371458600Medicaid
FLME 55866OtherFLORIDA MEDICAL LICENSE
FL1386693489OtherDR. KAREN STEIN'S PERSONAL NPI
FL17773OtherBCBS OF FLORIDA
FL1871542738OtherDR. KAREN STEIN'S BUSINESS NPI
FLF34367Medicare UPIN