MEDICARE: ROLINE JANVIER

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	DO6753	FL

General Provider Information

NPI Number	:	1356280689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROLINE JANVIER

Provider Business Mailing Address
First Line	:	3306 N UNIVERSITY DR
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33351-6773
Country	:	US
Telephone Number	:	954-331-5929
Fax Number	:	954-572-3157

Provider Business Practice Location Address
First Line	:	3306 N UNIVERSITY DR
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33351-6773
Country	:	US
Telephone Number	:	954-331-5929
Fax Number	:	954-572-3157

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

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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Directions to “ ROLINE JANVIER ” Practice Location

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