MEDICARE: LINDA S PAEY 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	OPC3034	FL

General Provider Information

NPI Number	:	1760442933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA S PAEY O.D.

Provider Business Mailing Address
First Line	:	7712 CYPRESS KNEE DR
Second Line	:
City	:	HUDSON
State	:	FL
Zip	:	34667-1433
Country	:	US
Telephone Number	:	727-863-7232
Fax Number	:

Provider Business Practice Location Address
First Line	:	1575 LAND O LAKES BLVD
Second Line	:
City	:	LUTZ
State	:	FL
Zip	:	33549-2930
Country	:	US
Telephone Number	:	813-909-0678
Fax Number	:	813-909-0270

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

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	01/30/2013

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