# DR. BALMARY VAZQUEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1124270905
- **Gender:** F
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 0618001795 | VA | — |
| 152W00000X | Optometrist | OPC 4392 | FL | Yes |

## Other

- **Enumeration date:** 10/13/2008
- **Last updated:** 12/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A00732 | EYEMED | FL |