MEDICARE: DR. JASON XUNA P.A.

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	OPC4397	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1699907352
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. JASON XUNA P.A.

Provider Business Mailing Address
First Line	:	6917 COLLINS AVE
Second Line	:	SUITE 1426
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-3263
Country	:	US
Telephone Number	:	303-669-9862
Fax Number	:

Provider Business Practice Location Address
First Line	:	6917 COLLINS AVE
Second Line	:	SUITE 1426
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-3263
Country	:	US
Telephone Number	:	303-669-9862
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JASON XUNA
Credential	:	OD
Telephone Number	:	303-669-9862

Provider Enumeration Date	:	08/13/2009
Last Update Date	:	08/13/2009

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