# PATRICK DEL VECCHIO PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063811099
- **Authorized official:** DR. PATRICK DEL VECCHIO O.D. (OWNER)
- **Authorized official phone:** (305) 247-2334

## Contact information

- **Practice address:** 28 N HOMESTEAD BLVD, HOMESTEAD, FL 33030-7416
- **Practice address phone:** (305) 247-2334
- **Practice address fax:** (305) 247-7101
- **Mailing address:** 28 N HOMESTEAD BLVD, HOMESTEAD, FL 33030-7416
- **Mailing address phone:** (305) 247-2334
- **Mailing address fax:** (305) 247-7101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC4015 | FL | Yes |

## Other

- **Enumeration date:** 08/14/2014
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 621193300 | — | FL |
| 01 | — | CX905Z | MEDICARE PROVIDER | FL |
| 01 | — | IE931A | MEDICARE | FL |