# RICHARD PADRON OD PA

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

## Provider details

- **NPI number:** 1992980692
- **Authorized official:** RICHARD PADRON O.D. (PRESIDENT)
- **Authorized official phone:** (305) 793-6058

## Contact information

- **Practice address:** 2200 SW 16TH ST, SUITE 204, MIAMI, FL 33145-2067
- **Practice address phone:** (305) 860-6760
- **Mailing address:** 2200 SW 16TH ST STE 204, MIAMI, FL 33145-2062
- **Mailing address phone:** (305) 860-6760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OB 3148 | FL | Yes |

## Other

- **Enumeration date:** 01/01/2008
- **Last updated:** 09/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 620384100 | — | FL |