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NPI Code Detail

MEDICARE: DR. VERONICA MARIE CARRERO O.D.

MEDICARE: DR. VERONICA MARIE CARRERO O.D.
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
1152W00000XOptometrist7310TGTX
2152W00000XOptometristOPC 4579FL

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 : 1164688073
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VERONICA MARIE CARRERO O.D.
Provider Business Mailing Address
First Line : 1500 S HIATUS RD
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33025-3617
Country : US
Telephone Number : 954-438-4000
Fax Number : 954-438-6000
Provider Business Practice Location Address
First Line : 1500 S HIATUS RD
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33025-3617
Country : US
Telephone Number : 954-438-4000
Fax Number : 954-438-6000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2008
Last Update Date : 01/08/2025

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