MEDICARE: CAROL HECKER NASON, 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	OPC002594	FL

General Provider Information

NPI Number	:	1134374614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROL HECKER NASON, O.D., P.A.

Provider Business Mailing Address
First Line	:	7433 PRESCOTT LN
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7849
Country	:	US
Telephone Number	:	561-963-8148
Fax Number	:

Provider Business Practice Location Address
First Line	:	10550 W FOREST HILL BLVD
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-3135
Country	:	US
Telephone Number	:	561-791-3937
Fax Number	:	561-333-8586

Authorized Official
Title or Position	:	CEO
Name	:	DR. CAROL HECKER NASON
Credential	:	O.D.
Telephone Number	:	561-963-8148

Provider Enumeration Date	:	11/25/2008
Last Update Date	:	01/19/2011

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