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NPI Code Detail

MEDICARE: MI OPTOMETRA INC

MEDICARE: MI OPTOMETRA 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
1152W00000XOptometrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548893746
Entity Type Code : Organization
Provider Name (Legal Business Name) : MI OPTOMETRA INC
Provider Business Mailing Address
First Line : 5142 HOOK HOLLOW CIR
Second Line :
City : ORLANDO
State : FL
Zip : 32837-4913
Country : US
Telephone Number : 321-251-3582
Fax Number :
Provider Business Practice Location Address
First Line : 8101 S JOHN YOUNG PKWY
Second Line :
City : ORLANDO
State : FL
Zip : 32819-9021
Country : US
Telephone Number : 321-251-3582
Fax Number : 407-377-7645
Authorized Official
Title or Position : MANAGER
Name : EUGENIO L TORRES AYALA
Credential :
Telephone Number : 321-300-2020
Provider Enumeration Date : 02/15/2020
Last Update Date : 02/04/2026

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Directions to “MI OPTOMETRA INC ” Practice Location

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