Basic Information
Provider Information
NPI: 1376618686
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHINAS
FirstName: ZOEANNE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: O.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 290370
Address2:  
City: DAVIE
State: FL
PostalCode: 333290370
CountryCode: US
TelephoneNumber: 9542624397
FaxNumber: 9542622269
Practice Location
Address1: 3200 S UNIVERSITY DR
Address2: NSU THE EYE INSTITUTE SUITE 1402
City: DAVIE
State: FL
PostalCode: 333282018
CountryCode: US
TelephoneNumber: 9542621402
FaxNumber: 9542621818
Other Information
ProviderEnumerationDate: 11/21/2006
LastUpdateDate: 09/09/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
152W00000XOPC3956FLY Eye and Vision Services ProvidersOptometrist 

ID Information
IDTypeStateIssuerDescription
62095990005FL MEDICAID


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