Provider Demographics
NPI:1639367469
Name:FURNARI AND LOFTON GENERAL PARTNERSHIP
Entity type:Organization
Organization Name:FURNARI AND LOFTON GENERAL PARTNERSHIP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:D
Authorized Official - Last Name:FURNARI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:305-247-2331
Mailing Address - Street 1:948 N KROME AVE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-4409
Mailing Address - Country:US
Mailing Address - Phone:305-247-2331
Mailing Address - Fax:305-248-7904
Practice Address - Street 1:948 N KROME AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-4409
Practice Address - Country:US
Practice Address - Phone:305-247-2331
Practice Address - Fax:305-248-7904
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:20/20 EYE CENTERS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-05
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOP0001031152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL084669400Medicaid
FL084669400Medicaid
FLT93821Medicare UPIN