MEDICARE: A & C VISION CARE 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
1	332H00000X	Eyewear Supplier	DO2364	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	:	1962682435
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A & C VISION CARE INC.

Provider Business Mailing Address
First Line	:	10327 ROYAL PALM BLVD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4817
Country	:	US
Telephone Number	:	954-345-5367
Fax Number	:	954-340-1304

Provider Business Practice Location Address
First Line	:	10327 ROYAL PALM BLVD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4817
Country	:	US
Telephone Number	:	954-345-5367
Fax Number	:	954-340-1304

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ABRAHAM BALMORI
Credential	:
Telephone Number	:	954-345-5367

Provider Enumeration Date	:	11/13/2007
Last Update Date	:	11/13/2007

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Directions to “A & C VISION CARE INC. ” Practice Location

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