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 | 152WP0200X | Optometrist | Pediatrics | OPC 3355 | FLORIDA | No |
| 2 | 152WC0802X | Optometrist | Corneal and Contact Management | OPC 3355 | FLORIDA | No |
| 3 | 152WC0802X | Optometrist | Corneal and Contact Management | 0618001596 | VIRGINIA | No |
| 4 | 152WL0500X | Optometrist | Low Vision Rehabilitation | OPC 3355 | FLORIDA | No |
| 5 | 152WL0500X | Optometrist | Low Vision Rehabilitation | 0618001596 | VIRGINIA | No |
| 6 | 152WV0400X | Optometrist | Vision Therapy | 0618001596 | VIRGINIA | No |
| 7 | 152W00000X | Optometrist | | OPC 3355 | FLORIDA | Yes |
| 8 | 152WV0400X | Optometrist | Vision Therapy | OPC 3355 | FLORIDA | No |
| 9 | 152WP0200X | Optometrist | Pediatrics | 0618001596 | VIRGINIA | No |