MEDICARE: MJ & E CORPORATION

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	332H00000X	Eyewear Supplier	1560	FL

General Provider Information

NPI Number	:	1750567830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MJ & E CORPORATION

Provider Business Mailing Address
First Line	:	1730 W HILLSBORO BLVD
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-1531
Country	:	US
Telephone Number	:	954-574-0755
Fax Number	:	954-574-9198

Provider Business Practice Location Address
First Line	:	1730 W HILLSBORO BLVD
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-1531
Country	:	US
Telephone Number	:	954-574-0755
Fax Number	:	954-574-9198

Authorized Official
Title or Position	:	OWNER/OPTICIAN
Name	:	MRS. MICHELE SILVER
Credential	:
Telephone Number	:	954-574-0755

Provider Enumeration Date	:	01/18/2008
Last Update Date	:	04/14/2008

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Directions to “MJ & E CORPORATION ” Practice Location

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