| |
9000 Sw 152nd St, Suite 206, Palmetto Bay, FL 33157-1981 | |
(786) 242-7755 | |
(786) 242-0070 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 9000 Sw 152nd St, Palmetto Bay, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922069095 | NPI | - | NPPES |
620934300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPC3390 (Florida) | Primary |
Provider Name | Lianne M Pino-etten |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1003096421 PECOS PAC ID: 4183617087 Enrollment ID: I20040407000164 |
Mailing Address | Practice Location Address |
---|---|
9000 Sw 152nd St, Suite 206, Palmetto Bay, FL 33157-1981 Ph: (786) 242-7755 | 9000 Sw 152nd St, Suite 206, Palmetto Bay, FL 33157-1981 Ph: (786) 242-7755 |
Nathan Robert Etten, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 9000 Sw 152nd St, Suite 206, Palmetto Bay, FL 33157 Phone: 786-242-7755 Fax: 786-242-0070 | |
Furnari And Lofton General Partnership Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9861 E Fern St, Palmetto Bay, FL 33157 Phone: 786-713-0083 |