MEDICARE: H M SIMKIN, OD, 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
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1578850814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H M SIMKIN, OD, PA

Provider Business Mailing Address
First Line	:	209 ROYAL POINCIANA WAY
Second Line	:
City	:	PALM BEACH
State	:	FL
Zip	:	33480-4039
Country	:	US
Telephone Number	:	561-802-6266
Fax Number	:	561-802-6268

Provider Business Practice Location Address
First Line	:	209 ROYAL POINCIANA WAY
Second Line	:
City	:	PALM BEACH
State	:	FL
Zip	:	33480-4039
Country	:	US
Telephone Number	:	561-802-6266
Fax Number	:	561-802-6268

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. HERBERT M SIMKIN
Credential	:	O. D.
Telephone Number	:	561-802-6266

Provider Enumeration Date	:	07/07/2011
Last Update Date	:	07/07/2011

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