MEDICARE: DR. MICHAEL PATRICK FLORES 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	152W00000X	Optometrist	OPT-002815	AZ

General Provider Information

NPI Number	:	1770449860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL PATRICK FLORES OD

Provider Business Mailing Address
First Line	:	955 W SOUTHERN AVE STE 101
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85210-4903
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9524 W CAMELBACK RD STE 150
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85305-3104
Country	:	US
Telephone Number	:	623-872-8822
Fax Number	:	623-772-8216

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

Provider Enumeration Date	:	01/01/2026
Last Update Date	:	01/15/2026

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