Provider Demographics
NPI:1851438519
Name:CASAS, MARIA M (OD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:M
Last Name:CASAS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1455 NW 107TH AVE STE 790
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-2721
Mailing Address - Country:US
Mailing Address - Phone:305-477-0534
Mailing Address - Fax:305-591-3589
Practice Address - Street 1:4330 SHERIDAN ST STE 102B
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-1407
Practice Address - Country:US
Practice Address - Phone:954-287-2010
Practice Address - Fax:305-723-1910
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR254152W00000X
PAOE-006859152W00000X
FL2470152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist