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NPI Code Detail

MEDICARE: YARABU EYE CARE, P.A.

MEDICARE: YARABU EYE CARE, 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
1152W00000XOptometrist

Other Identifiers

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

General Provider Information

NPI Number : 1154892990
Entity Type Code : Organization
Provider Name (Legal Business Name) : YARABU EYE CARE, P.A.
Provider Business Mailing Address
First Line : 11523 PALMBRUSH TRL # 124
Second Line :
City : LAKEWOOD RANCH
State : FL
Zip : 34202-2917
Country : US
Telephone Number : 941-567-4675
Fax Number :
Provider Business Practice Location Address
First Line : 1141 53RD AVE W
Second Line :
City : BRADENTON
State : FL
Zip : 34207-2858
Country : US
Telephone Number : 941-567-4675
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. ALBERT ALEXANDER LASCAIBAR
Credential : OD
Telephone Number : 941-567-4675
Provider Enumeration Date : 12/05/2018
Last Update Date : 12/05/2018

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1649227810 — DR. ALBERT ALEXANDER LASCAIBAR O.D.
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1528060407 — DR. CHRISTOPHER J ADDISON DPM
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Directions to “YARABU EYE CARE, P.A. ” Practice Location

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