MEDICARE: DENISE FORAN BILLINGS OD

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	OPC1833	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	410046438	OTHER	FL	RAILRAOD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205845781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE FORAN BILLINGS OD

Provider Business Mailing Address
First Line	:	2135 TAMIAMI TRAIL
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33948-2123
Country	:	US
Telephone Number	:	941-624-5772
Fax Number	:	941-624-5730

Provider Business Practice Location Address
First Line	:	2135 TAMIAMI TRAIL
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33948-2123
Country	:	US
Telephone Number	:	941-624-5772
Fax Number	:	941-624-5730

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	04/17/2017

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Directions to “ DENISE FORAN BILLINGS OD” Practice Location

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