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8220 W Flagler St, Miami, FL 33144-2028 | |
(305) 225-1145 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Technician/technologist - Optician |
Location | 8220 W Flagler St, Miami, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053480145 | NPI | - | NPPES |
620974200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPC3913 (Florida) | Secondary |
156FX1800X | Technician/technologist - Optician | (* (Not Available)) | Primary |
Provider Name | Lianette Laria |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1437105962 PECOS PAC ID: 3971553991 Enrollment ID: I20050128000450 |
Provider Name | Diana Perez |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1295263903 PECOS PAC ID: 7911241518 Enrollment ID: I20181210000831 |
Provider Name | Aurora Perez |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1811160187 PECOS PAC ID: 5698013506 Enrollment ID: I20190218002720 |
Mailing Address | Practice Location Address |
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8220 W Flagler St, Miami, FL 33144-2028 Ph: (305) 225-1145 | 8220 W Flagler St, Miami, FL 33144-2028 Ph: (305) 225-1145 |