Provider Demographics
NPI:1366791394
Name:ON SITE EYE CARE INC
Entity type:Organization
Organization Name:ON SITE EYE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:S
Authorized Official - Last Name:SCHLESINGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:850-485-0402
Mailing Address - Street 1:5145 LEESWAY CIR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-4310
Mailing Address - Country:US
Mailing Address - Phone:850-485-0402
Mailing Address - Fax:850-454-9130
Practice Address - Street 1:5145 LEESWAY CIR
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-4310
Practice Address - Country:US
Practice Address - Phone:850-485-0402
Practice Address - Fax:850-454-9130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-759152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2576OtherFLORIDA OPTOMETRY LICENSE