Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 152W00000X | Optometrist | | | | No |
| 2 | 152WC0802X | Optometrist | Corneal and Contact Management | | | No |
| 3 | 152WP0200X | Optometrist | Pediatrics | | | No |
| 4 | 207W00000X | Ophthalmology | | ME99008 | FLORIDA | Yes |
| 5 | 207WX0107X | Ophthalmology | Retina Specialist | | | No |
| 6 | 207WX0200X | Ophthalmology | Ophthalmic Plastic and Reconstructive Surgery | | | No |
| 7 | 2084N0402X | Psychiatry & Neurology | Neurology with Special Qualifications in Child Neurology | | | No |
| 8 | 332900000X | Non-Pharmacy Dispensing Site | | | FLORIDA | No |
| 9 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |