MEDICARE: DOCTORS OPTICAL

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	332H00000X	Eyewear Supplier	OE 1	FL

General Provider Information

NPI Number	:	1700933397
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCTORS OPTICAL

Provider Business Mailing Address
First Line	:	2175 20TH ST
Second Line	:	SUITE C
City	:	VERO BEACH
State	:	FL
Zip	:	32960-3024
Country	:	US
Telephone Number	:	772-567-5000
Fax Number	:	772-770-3485

Provider Business Practice Location Address
First Line	:	2175 20TH ST
Second Line	:	SUITE C
City	:	VERO BEACH
State	:	FL
Zip	:	32960-3024
Country	:	US
Telephone Number	:	772-567-5000
Fax Number	:	772-770-3485

Authorized Official
Title or Position	:	OPTICIAN
Name	:	MRS. BETTE CHAMBERLAIN
Credential	:
Telephone Number	:	772-567-5000

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	08/22/2020

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Directions to “DOCTORS OPTICAL ” Practice Location

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