Individual
DR. CHANDRA V. MICKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-4200
Mailing address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-4200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
8093TG
TX
152W00000X
Optometrist
OFC69
FL
152W00000X
Optometrist
Primary
T-197-TA-814
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51598855
BCBS OF ALABAMA
AL
Enumeration date
06/11/2009
Last updated
06/30/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us