# PAVEL V GAZDOVICH OD PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1255722401
- **Authorized official:** PAVEL V GAZDOVICH OD (OPTOMETRIST/ OWNER)
- **Authorized official phone:** (305) 424-8451

## Contact information

- **Practice address:** 9569 S DIXIE HWY, MIAMI, FL 33156-2802
- **Practice address phone:** (305) 424-8451
- **Practice address fax:** (305) 424-4248
- **Mailing address:** 3260 SW 140TH AVE, MIAMI, FL 33175-6755
- **Mailing address phone:** (305) 424-8451
- **Mailing address fax:** (305) 424-8526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC4933 | FL | Yes |

## Other

- **Enumeration date:** 02/10/2015
- **Last updated:** 12/06/2022