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NPI Code Detail

MEDICARE: MR. RAYMOND J CASTRO BC, LDO

MEDICARE: MR. RAYMOND J CASTRO BC, LDO
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
1156FC0801XContact Lens FitterDO4855FL
2156FX1800XOpticianDO4855FL
31744R1103XResearch Study Abstracter/CoderDO4855FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DO4855OTHERFLLICENSE NUMBER

General Provider Information

NPI Number : 1386653954
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RAYMOND J CASTRO BC, LDO
Provider Business Mailing Address
First Line : 11200 SW 8TH ST STE 160
Second Line : FLORIDA INTERNATIONAL UNIVERSITY MMC
City : MIAMI
State : FL
Zip : 33199-2516
Country : US
Telephone Number : 305-348-8439
Fax Number : 305-348-8330
Provider Business Practice Location Address
First Line : 11200 SW 8TH ST
Second Line : COLLEGE OPTICAL EXPRESS @ FIU, PG-6, SUITE 160
City : MIAMI
State : FL
Zip : 33199-2156
Country : US
Telephone Number : 305-348-8439
Fax Number : 305-348-8330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 07/22/2016

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