MEDICARE: VERONIKA AGEYEVA O.D.

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	OPC 5155	FL

General Provider Information

NPI Number	:	1245602895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONIKA AGEYEVA O.D.

Provider Business Mailing Address
First Line	:	20244 NE 34TH CT
Second Line	:
City	:	AVENTURA
State	:	FL
Zip	:	33180-3301
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16853 NE 2ND AVE STE 201
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-1776
Country	:	US
Telephone Number	:	305-654-8810
Fax Number	:

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

Provider Enumeration Date	:	10/22/2015
Last Update Date	:	10/03/2025

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