MEDICARE: CARE OPTICA, INC

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	156FX1800X	Optician

General Provider Information

NPI Number	:	1306592365
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE OPTICA, INC

Provider Business Mailing Address
First Line	:	12885 SW 42ND ST STE 2
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-3435
Country	:	US
Telephone Number	:	786-953-5583
Fax Number	:

Provider Business Practice Location Address
First Line	:	12885 SW 42ND ST STE 2
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-3435
Country	:	US
Telephone Number	:	786-953-5583
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MAURILYS RODRIGUEZ
Credential	:
Telephone Number	:	786-953-5583

Provider Enumeration Date	:	02/28/2022
Last Update Date	:	02/28/2022

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Directions to “CARE OPTICA, INC ” Practice Location

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