MEDICARE: MEDICAL ARTS 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	152W00000X	Optometrist	OPC3765	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	:	1386998920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL ARTS INC.

Provider Business Mailing Address
First Line	:	6250 DOLPHIN DR FL 33158
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33158-1845
Country	:	US
Telephone Number	:	305-494-9321
Fax Number	:	786-349-4190

Provider Business Practice Location Address
First Line	:	6250 DOLPHIN DR FL 33158
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33158-1845
Country	:	US
Telephone Number	:	305-494-9321
Fax Number	:	786-349-4190

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GUY M YOUNG
Credential	:	O.D.
Telephone Number	:	305-248-5004

Provider Enumeration Date	:	11/05/2012
Last Update Date	:	01/03/2024

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Directions to “MEDICAL ARTS INC. ” Practice Location

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