MEDICARE: AVE MARIA OPTICAL

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

General Provider Information

NPI Number	:	1962177048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVE MARIA OPTICAL

Provider Business Mailing Address
First Line	:	5068 ANNUNCIATION CIR UNIT 108
Second Line	:
City	:	AVE MARIA
State	:	FL
Zip	:	34142-9668
Country	:	US
Telephone Number	:	239-658-5854
Fax Number	:

Provider Business Practice Location Address
First Line	:	5068 ANNUNCIATION CIR UNIT 108
Second Line	:
City	:	AVE MARIA
State	:	FL
Zip	:	34142-9668
Country	:	US
Telephone Number	:	239-658-5854
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LUISA DEL TORO
Credential	:
Telephone Number	:	239-658-5854

Provider Enumeration Date	:	08/11/2021
Last Update Date	:	08/11/2021

Similar Medicare Providers

1780655423 — DR. LUISA INES DEL TORO O.D.
Practice Location Address:

5068 ANNUNCIATION CIR UNIT 108
AVE MARIA, FL
34142-9668

Practice Phone: 239-658-5854
Practice Fax:

1295762466 — WILLIAM M HASBUN MD
Practice Location Address:

5068 ANNUNCIATION CIR UNIT 111
AVE MARIA, FL
34142-9668

Practice Phone: 239-867-4395
Practice Fax: 239-217-3662

1134415193 — ANA MARIA GARCIA IGUARAN MD
Practice Location Address:

5068 ANNUNCIATION CIR UNIT 111
AVE MARIA, FL
34142-9668

Practice Phone: 239-867-4395
Practice Fax:

1235974916 — SOUTH HEALTH LLC
Practice Location Address:

5068 ANNUNCIATION CIR UNIT 111
AVE MARIA, FL
34142-9668

Practice Phone: 239-867-4395
Practice Fax: 844-735-8444

1154129658 — MR. STEVEN TROY SPILLER FNP
Practice Location Address:

5068 ANNUNCIATION CIR UNIT 111
AVE MARIA, FL
34142-9668

Practice Phone: 239-867-4395
Practice Fax:

1639134547 — MR. JAMES WARREN OCHSE ATC, CSCS,D, NSCA-C
Practice Location Address:

DESALES UNIVERSITY , 2755 STATION AVE.
CENTER VALLEY, PA
18034-9668

Practice Phone: 610-282-1100
Practice Fax:

Directions to “AVE MARIA OPTICAL ” Practice Location

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