MEDICARE: DR. MICHAEL SALINAS O.D.

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	OPC3536	FL
2	152WC0802X	Corneal and Contact Management Optometrist	OPC3536	FL

General Provider Information

NPI Number	:	1659391688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL SALINAS O.D.

Provider Business Mailing Address
First Line	:	6431 S CHICKASAW TRL
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32829-8366
Country	:	US
Telephone Number	:	407-482-4800
Fax Number	:	407-482-4811

Provider Business Practice Location Address
First Line	:	6431 S CHICKASAW TRL
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32829-8366
Country	:	US
Telephone Number	:	407-482-4800
Fax Number	:	407-482-4811

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	02/20/2014

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