| Charis Optical Llc | |
|
2170 Ne 123rd St, North Miami, FL 33181-2902 | |
| (305) 570-1666 | |
| (305) 203-0546 |
| Full Name | Charis Optical Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center |
| Location | 2170 Ne 123rd St, North Miami, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215411822 | NPI | - | NPPES |
| OT11471 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Andres F Zapata |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750328316 PECOS PAC ID: 1759357726 Enrollment ID: I20040909001378 |
| Provider Name | Evelyn Capdevila |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821235854 PECOS PAC ID: 2860469681 Enrollment ID: I20040913000304 |
| Provider Name | Izasku Shotts |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902073133 PECOS PAC ID: 8628291804 Enrollment ID: I20140514002421 |
| Provider Name | Maureen L Moder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679541262 PECOS PAC ID: 4284957879 Enrollment ID: I20150107001193 |
| Provider Name | Kai S Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942737952 PECOS PAC ID: 1759659501 Enrollment ID: I20210324002235 |
| Provider Name | Melissa G Delasota |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346823713 PECOS PAC ID: 9133528599 Enrollment ID: I20210604001509 |
| Provider Name | Kayla C Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235864356 PECOS PAC ID: 6103292362 Enrollment ID: I20221013001905 |
| Provider Name | Maxime Plante |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598493082 PECOS PAC ID: 3577934512 Enrollment ID: I20230130001644 |
| Mailing Address | Practice Location Address |
|---|---|
| Charis Optical Llc 14870 Sw 149th St, Miami, FL 33196-2359 Ph: () - | Charis Optical Llc 2170 Ne 123rd St, North Miami, FL 33181-2902 Ph: (305) 570-1666 |