MEDICARE: JOHN VILLAMIZAR LICENSED OPTICIAN

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	156FX1800X	Optician	DO6145	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	:	1346663374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN VILLAMIZAR LICENSED OPTICIAN

Provider Business Mailing Address
First Line	:	1201 OAKWATER DR
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-6107
Country	:	US
Telephone Number	:	561-354-8772
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 OAKWATER DR
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-6107
Country	:	US
Telephone Number	:	561-354-8772
Fax Number	:

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

Provider Enumeration Date	:	01/28/2014
Last Update Date	:	01/28/2014

Similar Medicare Providers

1023137262 — JOHANNE ANDRE KALILE PA
Practice Location Address:

1183 OAKWATER DR
ROYAL PALM BEACH, FL
33411-6107

Practice Phone: 561-762-9731
Practice Fax: 561-214-4494

1487095626 — PALM BEACH PEDIATRIC THERAPY, INC
Practice Location Address:

1207 OAKWATER DR
ROYAL PALM BEACH, FL
33411-6107

Practice Phone: 561-414-3143
Practice Fax:

1942740865 — MONICA DANIELLE WALLING LMHC
Practice Location Address:

6107 S DIXIE HWY STE 3
WEST PALM BEACH, FL
33405

Practice Phone: 561-301-8787
Practice Fax:

1194314195 — HEAVEN SENT ASSISTED LIVING LLC
Practice Location Address:

901 ASPEN RD
WEST PALM BEACH, FL
33409-6107

Practice Phone: 561-633-9714
Practice Fax:

1750086369 — AYMEE MICHEL GONZALEZ
Practice Location Address:

6107 EDEN RD
WEST PALM BEACH, FL
33417-5546

Practice Phone: 569-836-6510
Practice Fax:

1720845910 — AYLEN MICHEL GONZALEZ
Practice Location Address:

6107 EDEN RD
WEST PALM BEACH, FL
33417-5546

Practice Phone: 561-513-2473
Practice Fax:

Directions to “ JOHN VILLAMIZAR LICENSED OPTICIAN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.