| |
5785 Bird Rd Ste B, Miami, FL 33155-5334 | |
(305) 225-1145 | |
(305) 225-5158 |
Full Name | |
---|---|
Type | Facility |
Speciality | Technician/technologist - Optician |
Location | 5785 Bird Rd Ste B, Miami, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326715251 | NPI | - | NPPES |
009067400 | Medicaid | FL | |
620974200 | Medicaid | FL | |
009067402 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
156FX1800X | Technician/technologist - Optician | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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8220 W Flagler St, Miami, FL 33144-2028 Ph: (305) 225-1145 | 5785 Bird Rd Ste B, Miami, FL 33155-5334 Ph: (305) 225-1145 |