MEDICARE: GAFFAS OPTICAL, 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	332900000X	Non-Pharmacy Dispensing Site	OE893	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1265573935
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GAFFAS OPTICAL, INC.

Provider Business Mailing Address
First Line	:	7409 COLLINS AVE
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-2713
Country	:	US
Telephone Number	:	305-867-1500
Fax Number	:	305-867-1516

Provider Business Practice Location Address
First Line	:	7409 COLLINS AVE
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-2713
Country	:	US
Telephone Number	:	305-867-1500
Fax Number	:	305-867-1516

Authorized Official
Title or Position	:	VP
Name	:	MR. GREGORIO JULIAN
Credential	:
Telephone Number	:	305-867-1500

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	08/22/2020

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Directions to “GAFFAS OPTICAL, INC. ” Practice Location

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