MEDICARE: DR. CAROL H NASON 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
1	152W00000X	Optometrist	OPC2594	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	:	1700884103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROL H NASON O.D.

Provider Business Mailing Address
First Line	:	7433 PRESCOTT LN
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7849
Country	:	US
Telephone Number	:	561-963-8148
Fax Number	:

Provider Business Practice Location Address
First Line	:	10550 W FOREST HILL BLVD
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-3135
Country	:	US
Telephone Number	:	561-791-3937
Fax Number	:	561-333-8586

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

Provider Enumeration Date	:	07/09/2005
Last Update Date	:	01/19/2011

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