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NPI Code Detail

MEDICARE: KESSELMAN EYE CARE, INC.

MEDICARE: KESSELMAN EYE CARE, 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
1152W00000XOptometristOPC4993FL

General Provider Information

NPI Number : 1578912622
Entity Type Code : Organization
Provider Name (Legal Business Name) : KESSELMAN EYE CARE, INC.
Provider Business Mailing Address
First Line : 18090 COLLINS AVE
Second Line : SUITE T-13
City : SUNNY ISLES BEACH
State : FL
Zip : 33160-1917
Country : US
Telephone Number : 305-998-9950
Fax Number : 305-998-9955
Provider Business Practice Location Address
First Line : 18090 COLLINS AVE
Second Line : SUITE T-13
City : SUNNY ISLES BEACH
State : FL
Zip : 33160-1917
Country : US
Telephone Number : 305-998-9950
Fax Number : 305-998-9955
Authorized Official
Title or Position : PRESIDENT/CEO
Name : DR. JOSEPH ADI KESSELMAN
Credential : O.D.
Telephone Number : 305-998-9950
Provider Enumeration Date : 06/09/2016
Last Update Date : 06/09/2016

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Directions to “KESSELMAN EYE CARE, INC. ” Practice Location

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