Patrick Del Vecchio Pa | |
28 N Homestead Blvd, Homestead, FL 33030-7416 | |
(305) 247-2334 | |
(305) 247-7101 |
Full Name | Patrick Del Vecchio Pa |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 28 N Homestead Blvd, Homestead, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063811099 | NPI | - | NPPES |
621193300 | Medicaid | FL | |
IE931A | Other | FL | MEDICARE |
CX905Z | Other | FL | MEDICARE PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPC4015 (Florida) | Primary |
Provider Name | Alyx Hui Lin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1982717666 PECOS PAC ID: 7315834181 Enrollment ID: I20040304000576 |
Provider Name | Patrick Frances Del Vecchio |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1538158357 PECOS PAC ID: 0042357311 Enrollment ID: I20100414000817 |
Provider Name | Joanne Kundl |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1376657916 PECOS PAC ID: 4981682879 Enrollment ID: I20101026001030 |
Provider Name | Stephanie M Castellanos |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1306511944 PECOS PAC ID: 5890191464 Enrollment ID: I20210907001903 |
Mailing Address | Practice Location Address |
---|---|
Patrick Del Vecchio Pa 28 N Homestead Blvd, Homestead, FL 33030-7416 Ph: (305) 247-2334 | Patrick Del Vecchio Pa 28 N Homestead Blvd, Homestead, FL 33030-7416 Ph: (305) 247-2334 |
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