James D Hagen Od PA

NPI #1942483144 in Miami, Florida

Provider Information

NPI Number: 1942483144
Entity Type: Organization
Organization Name: James D Hagen Od PA
Primary Specialty: Optometrist
Enumeration Date: Dec 11, 2007
Last Updated: Dec 11, 2007

Practice Location

Address: 12979 SW 112TH ST
City: Miami
State: Florida
ZIP Code: 33186-4769
Phone: (305) 386-3937

Authorized Official

Name: DR. JAMES D HAGEN
Title: OWNER
Phone: (305) 386-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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