MEDICARE: MR. CLAUDE CADET 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	DO4551	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	:	1407959661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CLAUDE CADET OPTICIAN

Provider Business Mailing Address
First Line	:	18610 NW 67TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-2406
Country	:	US
Telephone Number	:	305-474-0433
Fax Number	:	305-474-8071

Provider Business Practice Location Address
First Line	:	18610 NW 67TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-2406
Country	:	US
Telephone Number	:	305-474-0433
Fax Number	:	305-474-8071

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

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	07/08/2007

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