MEDICARE: DR. ROSEMARY ANNE CARRERA OD

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	152WL0500X	Low Vision Rehabilitation Optometrist	4027	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619917374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSEMARY ANNE CARRERA OD

Provider Business Mailing Address
First Line	:	20 ALHAMBRA CIR APT 10
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-4660
Country	:	US
Telephone Number	:	305-498-6647
Fax Number	:	305-265-5276

Provider Business Practice Location Address
First Line	:	8100 CORAL WAY
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-1227
Country	:	US
Telephone Number	:	305-265-7676
Fax Number	:	305-265-5276

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	09/17/2013

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