Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Park Avenue Ophthalmics, PLLC

Organization Optometrist · NPI 1164460069

Park Avenue Ophthalmics, PLLC is an Optometrist in Panama City, Florida. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2500 W 23rd St
Panama City, FL 32405-2349
Phone: (850) 784-3936
Fax: (850) 784-3539
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X
Optometrist Taxonomy 152W00000X

Record details

NPI number1164460069
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Hasty — President · (850) 784-3936
Other names Advanced Eye Cre Of Bay Cn
NPI enumeratedJune 3, 2006
Last updated in NPPESMarch 13, 2023
Certification dateMarch 13, 2023
Mailing address2500 W 23rd St, Panama City, FL 32405-2349

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