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NPI Code Detail

MEDICARE: DEERFIELD OPTICIANS INC

MEDICARE: DEERFIELD OPTICIANS 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
1332BC3200XCustomized Equipment (DME)DO2468FL

General Provider Information

NPI Number : 1437180510
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEERFIELD OPTICIANS INC
Provider Business Mailing Address
First Line : 1400 E HILLSBORO BLVD
Second Line : SUITE 101
City : DEERFIELD BEACH
State : FL
Zip : 33441-4202
Country : US
Telephone Number : 954-426-2314
Fax Number : 954-480-9670
Provider Business Practice Location Address
First Line : 1400 E HILLSBORO BLVD
Second Line : SUITE 101
City : DEERFIELD BEACH
State : FL
Zip : 33441-4202
Country : US
Telephone Number : 954-426-2314
Fax Number : 954-480-9670
Authorized Official
Title or Position : PRESIDENT
Name : MS. JILL DEANN ELLIS
Credential :
Telephone Number : 954-426-2314
Provider Enumeration Date : 07/06/2006
Last Update Date : 08/22/2020

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Directions to “DEERFIELD OPTICIANS INC ” Practice Location

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