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NPI Code Detail

MEDICARE: SOUTH FLORIDA VISION SERVICES, INC.

MEDICARE: SOUTH FLORIDA VISION SERVICES, 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
1152W00000XOptometrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932840394
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH FLORIDA VISION SERVICES, INC.
Provider Business Mailing Address
First Line : 2900 W CYPRESS CREEK RD STE 4
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33309-1715
Country : US
Telephone Number : 954-676-8446
Fax Number : 954-979-2175
Provider Business Practice Location Address
First Line : 1500 S HIATUS RD
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33025-3617
Country : US
Telephone Number : 954-438-4000
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ROBERT C. COPPOLA
Credential : OD
Telephone Number : 954-917-2337
Provider Enumeration Date : 04/07/2022
Last Update Date : 07/21/2023

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Directions to “SOUTH FLORIDA VISION SERVICES, INC. ” Practice Location

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