Provider Demographics
NPI:1255415717
Name:OSCAR E CASTRO OD PA
Entity type:Organization
Organization Name:OSCAR E CASTRO OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:ERNEST
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:954-447-7601
Mailing Address - Street 1:12715 MIRAMAR PKWAY
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-6536
Mailing Address - Country:US
Mailing Address - Phone:954-447-4601
Mailing Address - Fax:
Practice Address - Street 1:1625 W 49TH ST
Practice Address - Street 2:OPTICAL DEPARTMENT
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2935
Practice Address - Country:US
Practice Address - Phone:305-825-3005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 4083152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty