Castillo, Jose A.

Castillo, Jose A. is an sole proprietor health care provider with primary practice located at 5372 W 16Th Ave , Hialeah FL 33012-2165. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Castillo, Jose A. can be contacted via phone (786) 478-3554.

Contact Information

Primary practice address
5372 W 16Th Ave Hialeah FL 33012-2165
Phone: (786) 478-3554
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC2849 Florida
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OPC2849 Florida
Eye and Vision Services Providers / Pediatrics 152WP0200X OPC2849 Florida

Profile Details

NPI number 1568482628
LBN Legal business name Castillo, Jose A.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Feb 15th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568482628 NPPES
Florida MEDICAID 620096600

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