MEDICARE: CEF VISION 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
1	156FX1800X	Optician	2649	FL
2	332H00000X	Eyewear Supplier	FL 2649	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	:	1740204148
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CEF VISION INC

Provider Business Mailing Address
First Line	:	2128 JIM REDMAN PKWY
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563
Country	:	US
Telephone Number	:	813-752-3320
Fax Number	:	813-759-6595

Provider Business Practice Location Address
First Line	:	2128 JIM REDMAN PKWY
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-7105
Country	:	US
Telephone Number	:	813-752-3320
Fax Number	:	813-759-6595

Authorized Official
Title or Position	:	OWNER OPTICIAN
Name	:	CATHERINE E FORSTHOFFER
Credential	:	LDO
Telephone Number	:	813-752-3320

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	07/17/2016

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Directions to “CEF VISION INC ” Practice Location

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