Rawan Farah, OD | |
3408 S Florida Ave, Lakeland, FL 33803-4765 | |
(863) 364-6447 | |
Not Available |
Full Name | Rawan Farah |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 3408 S Florida Ave, Lakeland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285245605 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPC5797 (Florida) | Primary |
Provider Name | Optix Eye Care Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649949728 PECOS PAC ID: 3870988371 Enrollment ID: O20220321000623 |
Mailing Address | Practice Location Address |
---|---|
Rawan Farah, OD 3408 S Florida Ave, Lakeland, FL 33803-4765 Ph: () - | Rawan Farah, OD 3408 S Florida Ave, Lakeland, FL 33803-4765 Ph: (863) 364-6447 |
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