Edward Attaway
Optometrist
407 Avenue K Se
Winter Haven
, Florida 33880-4126
Edward Attaway
Optometrist
407 Avenue K Se
Winter Haven
, Florida 33880-4126
(863) 294-8305
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Edward Attaway
- 407 Avenue K Se
- Winter Haven, FL
- Zip : 33880-4126
- Fax : (863) 294-8305
- Phone : (863) 294-3504
Second Address
- Edward Attaway
- 407 Avenue K Se
- Winter Haven, FL
- Zip : 33880-4126
- Fax : (863) 294-8305
- Phone : (863) 294-3504
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC 2010 | FL |
National Provider Identifier
| NPI | 1003810367 |
|---|---|
| Provider Name | Edward Attaway |
| First Address | Winter Haven, FL 33880-4126 |
| Second Address | Winter Haven, FL 33880-4126 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2005 |
| Last Update Date | 09/02/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 078605500 | (05) | FL |
| T77514 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.