Healthcare Provider Details

I. General information

NPI: 1437072162
Provider Name (Legal Business Name): MICHAEL MCCARTIN SIERRA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5960 20TH ST
VERO BEACH FL
32966-1019
US

IV. Provider business mailing address

5960 20TH ST
VERO BEACH FL
32966-1019
US

V. Phone/Fax

Practice location:
  • Phone: 772-410-2781
  • Fax:
Mailing address:
  • Phone: 772-410-2781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPC7044
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: