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NPI Code Detail

MEDICARE: VANESSA LOUISSAINT O.D.

MEDICARE:   VANESSA  LOUISSAINT  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
1152W00000XOptometristOPC 5214FL

General Provider Information

NPI Number : 1386093193
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA LOUISSAINT O.D.
Provider Business Mailing Address
First Line : 1040 NE 169TH TER
Second Line :
City : MIAMI
State : FL
Zip : 33162-2630
Country : US
Telephone Number : 305-213-8031
Fax Number :
Provider Business Practice Location Address
First Line : 4000 OAKWOOD BLVD
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-7118
Country : US
Telephone Number : 954-927-5065
Fax Number : 954-927-5064
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2016
Last Update Date : 02/23/2026

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Directions to “ VANESSA LOUISSAINT O.D.” Practice Location

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