MEDICARE: VISIONCARE FAMILY INC

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	OPC3327	FL

General Provider Information

NPI Number	:	1184645376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISIONCARE FAMILY INC

Provider Business Mailing Address
First Line	:	5540 S FLAMINGO RD
Second Line	:
City	:	COOPER CITY
State	:	FL
Zip	:	33330-2728
Country	:	US
Telephone Number	:	954-434-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	5540 S FLAMINGO RD
Second Line	:
City	:	COOPER CITY
State	:	FL
Zip	:	33330-2728
Country	:	US
Telephone Number	:	954-434-2020
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CRISTINA SICOIA
Credential	:	OD
Telephone Number	:	954-434-2020

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	11/17/2010

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