Healthcare Provider Details

I. General information

NPI: 1326219775
Provider Name (Legal Business Name): OCULAR SURFACE CENTER PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2008
Last Update Date: 03/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 SW 97TH AVE SUITE 213
MIAMI FL
33173-1494
US

IV. Provider business mailing address

7000 SW 97TH AVE SUITE 213
MIAMI FL
33173-1494
US

V. Phone/Fax

Practice location:
  • Phone: 305-274-1299
  • Fax: 305-274-1297
Mailing address:
  • Phone: 305-274-1299
  • Fax: 305-274-1297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME49674
License Number StateFL

VIII. Authorized Official

Name: MR. SCHEFFER TSENG
Title or Position: PHYSICIAN
Credential: MD
Phone: 305-274-1299