MEDICARE: CLAUDIA BAGAN OPT

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	DO8167	FL

General Provider Information

NPI Number	:	1548111271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA BAGAN OPT

Provider Business Mailing Address
First Line	:	1460 W 43RD PL APT 104
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-7608
Country	:	US
Telephone Number	:	786-346-8236
Fax Number	:

Provider Business Practice Location Address
First Line	:	1460 W 43RD PL APT 104
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-7608
Country	:	US
Telephone Number	:	786-346-8236
Fax Number	:

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

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “ CLAUDIA BAGAN OPT” Practice Location

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