MEDICARE: JAMES E. FLORES OD PC

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

General Provider Information

NPI Number	:	1619229929
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES E. FLORES OD PC

Provider Business Mailing Address
First Line	:	440 N ALVERNON WAY
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-1958
Country	:	US
Telephone Number	:	520-327-6215
Fax Number	:

Provider Business Practice Location Address
First Line	:	230 W CONTINENTAL RD
Second Line	:	SUITE 408
City	:	GREEN VALLEY
State	:	AZ
Zip	:	85622-3591
Country	:	US
Telephone Number	:	520-625-5657
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	JAMES E. FLORES
Credential	:	OD
Telephone Number	:	520-625-5657

Provider Enumeration Date	:	10/10/2012
Last Update Date	:	02/22/2013

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