MEDICARE: BRIAN A. ASALONE, O.D., P.A.

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	OPC003680	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083956387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIAN A. ASALONE, O.D., P.A.

Provider Business Mailing Address
First Line	:	2301 NE 9TH AVE
Second Line	:
City	:	WILTON MANORS
State	:	FL
Zip	:	33305-2266
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2583 E SUNRISE BLVD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33304-3203
Country	:	US
Telephone Number	:	954-563-8288
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRIAN ASALONE
Credential	:	O.D.
Telephone Number	:	954-873-5392

Provider Enumeration Date	:	03/25/2013
Last Update Date	:	10/03/2024

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