MEDICARE: DR. ANGELA RACINE KAPLAN OD

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	OPC3595	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	:	1538260906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELA RACINE KAPLAN OD

Provider Business Mailing Address
First Line	:	15735 CALOOSA CREEK CIR
Second Line	:
City	:	FT MYERS
State	:	FL
Zip	:	33908-6737
Country	:	US
Telephone Number	:	239-433-3337
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 BROADWAY
Second Line	:	STE 14
City	:	FT MYERS
State	:	FL
Zip	:	33901-8193
Country	:	US
Telephone Number	:	239-939-5259
Fax Number	:	239-275-6178

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	07/08/2007

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