MEDICARE: VISION CARE OPTICAL 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

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	:	1760556187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISION CARE OPTICAL INC

Provider Business Mailing Address
First Line	:	1111 NW 22ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-2738
Country	:	US
Telephone Number	:	305-649-6191
Fax Number	:	305-649-6196

Provider Business Practice Location Address
First Line	:	1111 NW 22ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-2738
Country	:	US
Telephone Number	:	305-649-6191
Fax Number	:	305-649-6196

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. ZUSEL MARTINEZ
Credential	:
Telephone Number	:	305-649-6191

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	04/20/2011

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Directions to “VISION CARE OPTICAL INC ” Practice Location

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