Individual
DR. HARRY WIRICK LANDSAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
91284 OVERSEAS HWY, TAVERNIER, FL 33070-2555
(305) 853-3153
(305) 853-3152
Mailing address
91284 OVERSEAS HWY, TAVERNIER, FL 33070-2555
(305) 853-3153
(305) 853-3152
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3675
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4449800001
MEDICARE NSC
FL
05
—
620728600
—
FL
Enumeration date
01/10/2007
Last updated
08/01/2011
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