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NPI Code Detail

MEDICARE: DAMIAN LUE, O.D., P.A.

MEDICARE: DAMIAN LUE, O.D., P.A.
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
1152W00000XOptometristOPC3021FL

Other Identifiers

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

General Provider Information

NPI Number : 1689902272
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAMIAN LUE, O.D., P.A.
Provider Business Mailing Address
First Line : 5851 NW 177TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33015-5127
Country : US
Telephone Number : 305-558-4326
Fax Number : 305-826-2841
Provider Business Practice Location Address
First Line : 5851 NW 177TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33015-5127
Country : US
Telephone Number : 305-558-4326
Fax Number : 305-826-2841
Authorized Official
Title or Position : PRESIDENT
Name : DR. DAMIAN FRANCIS LUE
Credential : O.D.
Telephone Number : 305-558-4326
Provider Enumeration Date : 11/19/2009
Last Update Date : 11/19/2009

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