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Organization
VISIONCARE PROFESSIONALS PA
Active
Organization
VISIONCARE PROFESSIONALS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK GOPIE O.D. (OWNER)
(786) 539-5895
Entity
Organization
Contact information
Practice address
13600 SW 288TH ST, HOMESTEAD, FL 33033-1905
(786) 539-5895
Mailing address
1040 NE 36TH AVE, HOMESTEAD, FL 33033-5565
(786) 539-5895
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3234
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK714A
MEDICARE PTAN
FL
Enumeration date
01/16/2015
Last updated
01/19/2015
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