MEDICARE: FERNANDO L SILVA OD

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	OP0002309	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	:	1881797355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FERNANDO L SILVA OD

Provider Business Mailing Address
First Line	:	3230 W FLAGLER ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-1153
Country	:	US
Telephone Number	:	305-858-2228
Fax Number	:	305-446-9244

Provider Business Practice Location Address
First Line	:	3230 W FLAGLER ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-1153
Country	:	US
Telephone Number	:	305-858-2228
Fax Number	:	305-446-9244

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

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	03/30/2020

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