Provider Demographics
NPI:1639480270
Name:ESTEVEZ, AMARIS (DO DISP OPTICIAN)
Entity Type:Individual
Prefix:MS
First Name:AMARIS
Middle Name:
Last Name:ESTEVEZ
Suffix:
Gender:F
Credentials:DO DISP OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7292 BIRD RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-6632
Mailing Address - Country:US
Mailing Address - Phone:305-266-6949
Mailing Address - Fax:305-265-1139
Practice Address - Street 1:7292 BIRD RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-6632
Practice Address - Country:US
Practice Address - Phone:305-266-6949
Practice Address - Fax:305-265-1139
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-29
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6171156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician