MEDICARE: DELFINA L VARGAS OPTICIAN

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	DO 833	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	:	1891836953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DELFINA L VARGAS OPTICIAN

Provider Business Mailing Address
First Line	:	7925 SW 108TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-3614
Country	:	US
Telephone Number	:	305-271-2052
Fax Number	:

Provider Business Practice Location Address
First Line	:	3390 CORAL WAY
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-2236
Country	:	US
Telephone Number	:	305-443-0972
Fax Number	:

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

Provider Enumeration Date	:	02/10/2007
Last Update Date	:	07/08/2007

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