Organization
PATRICK DEL VECCHIO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK DEL VECCHIO O.D. (OWNER)
(305) 247-2334
Entity
Organization
Contact information
Practice address
28 N HOMESTEAD BLVD, HOMESTEAD, FL 33030-7416
(305) 247-2334
(305) 247-7101
Mailing address
28 N HOMESTEAD BLVD, HOMESTEAD, FL 33030-7416
(305) 247-2334
(305) 247-7101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4015
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621193300
—
FL
01
—
CX905Z
MEDICARE PROVIDER
FL
01
—
IE931A
MEDICARE
FL
Enumeration date
08/14/2014
Last updated
07/21/2022
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