MEDICARE: DR. NEIL EINHORN PA

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	1349	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	:	1417073362
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. NEIL EINHORN PA

Provider Business Mailing Address
First Line	:	9885 SW 72ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-4617
Country	:	US
Telephone Number	:	305-595-2020
Fax Number	:	305-595-2036

Provider Business Practice Location Address
First Line	:	9885 SW 72ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-4617
Country	:	US
Telephone Number	:	305-595-2020
Fax Number	:	305-595-2036

Authorized Official
Title or Position	:	OWNER
Name	:	DR. NEIL MARTIN EINHORN
Credential	:	O.D.
Telephone Number	:	305-595-2020

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	06/18/2008

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