MEDICARE: SCHWARTZ EYE ASSOCIATES, PA

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	OPC3170	FL

General Provider Information

NPI Number	:	1033295407
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHWARTZ EYE ASSOCIATES, PA

Provider Business Mailing Address
First Line	:	1378 SE 17TH ST
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33316-1708
Country	:	US
Telephone Number	:	954-467-6227
Fax Number	:	954-779-7354

Provider Business Practice Location Address
First Line	:	1378 SE 17TH ST
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33316-1708
Country	:	US
Telephone Number	:	954-467-6227
Fax Number	:	954-779-7354

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JASON L SCHWARTZ
Credential	:	O.D.
Telephone Number	:	954-467-6227

Provider Enumeration Date	:	10/28/2006
Last Update Date	:	08/22/2020

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