MEDICARE: ANDREAS ZACHAROPOULOS OD

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	OPC5660	FL

General Provider Information

NPI Number	:	1194377317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREAS ZACHAROPOULOS OD

Provider Business Mailing Address
First Line	:	43309 US HIGHWAY 19 N
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34689-6221
Country	:	US
Telephone Number	:	727-943-3111
Fax Number	:

Provider Business Practice Location Address
First Line	:	9400 9TH ST N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33702-2422
Country	:	US
Telephone Number	:	727-943-3111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2019
Last Update Date	:	11/08/2022

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