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NPI Code Detail

MEDICARE: RELIEF IN SIGHT PA

MEDICARE: RELIEF IN SIGHT PA
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
1152W00000XOptometrist1627FL

General Provider Information

NPI Number : 1265518948
Entity Type Code : Organization
Provider Name (Legal Business Name) : RELIEF IN SIGHT PA
Provider Business Mailing Address
First Line : 2909 SW 160TH AVE
Second Line :
City : MIRAMAR
State : FL
Zip : 33027-4212
Country : US
Telephone Number : 954-437-9733
Fax Number : 954-432-6116
Provider Business Practice Location Address
First Line : 2909 SW 160TH AVE
Second Line :
City : MIRAMAR
State : FL
Zip : 33027-4212
Country : US
Telephone Number : 954-437-9733
Fax Number : 954-432-6116
Authorized Official
Title or Position : PRESIDENT
Name : RICHARD J CHESEN
Credential : O.D.
Telephone Number : 954-449-3335
Provider Enumeration Date : 10/27/2006
Last Update Date : 10/18/2017

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Directions to “RELIEF IN SIGHT PA ” Practice Location

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