MEDICARE: EYE ASSOCIATES OF ORLANDO, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPC3536	FL

General Provider Information

NPI Number	:	1013338003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE ASSOCIATES OF ORLANDO, P.A.

Provider Business Mailing Address
First Line	:	6431 S CHICKASAW TRL
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32829-8366
Country	:	US
Telephone Number	:	407-482-4800
Fax Number	:	407-482-4811

Provider Business Practice Location Address
First Line	:	6431 S CHICKASAW TRL
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32829-8366
Country	:	US
Telephone Number	:	407-482-4800
Fax Number	:	407-482-4811

Authorized Official
Title or Position	:	DOCTOR
Name	:	MICHAEL SALINAS
Credential	:	O.D.
Telephone Number	:	407-482-4800

Provider Enumeration Date	:	12/18/2013
Last Update Date	:	03/19/2015

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