MEDICARE: IRVING ESTRIN MD

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	174400000X	Specialist	ME0038361	FL
2	207W00000X	Ophthalmology Physician	ME38361	FL

General Provider Information

NPI Number	:	1306930953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRVING ESTRIN MD

Provider Business Mailing Address
First Line	:	5 WEST SAMPLE ROAD
Second Line	:	RAND EYE INSTITUTE
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-3542
Country	:	US
Telephone Number	:	954-782-1700
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 WEST SAMPLE ROAD
Second Line	:	RAND EYE INSTITUTE
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-3542
Country	:	US
Telephone Number	:	954-782-1700
Fax Number	:

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	09/27/2016

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