MEDICARE: RANGEL EYECARE

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	OPC 3969	FL

General Provider Information

NPI Number	:	1922253731
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RANGEL EYECARE

Provider Business Mailing Address
First Line	:	500 MERIDALE AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-5525
Country	:	US
Telephone Number	:	407-375-4772
Fax Number	:

Provider Business Practice Location Address
First Line	:	7810 W COLONIAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-6674
Country	:	US
Telephone Number	:	407-532-5154
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/DOCTOR
Name	:	DR. DANIEL RANGEL
Credential	:	O.D.
Telephone Number	:	407-375-4772

Provider Enumeration Date	:	11/20/2008
Last Update Date	:	11/20/2008

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Directions to “RANGEL EYECARE ” Practice Location

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