Glades Eye Care Incorporated
Ophthalmology in Belle Glade, FL. Organization (NPI-2).
NPI number1144729120
StatusActive
Last updated in NPPESJan 9, 2019
Details
- NPI
- 1144729120
- Entity type
- Organization (NPI-2)
- Legal business name
- Glades Eye Care Incorporated
- Organization subpart
- No
- Enumeration date
- Feb 6, 2018
- Last updated
- Jan 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
| 156FX1800X | Technician/Technologist, Optician | – | FL | |
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – |
Practice location
309 Se 2nd StBelle Glade, FL 33430-3509
Phone 561-996-5804 · Fax 561-996-7455
Mailing address
309 Se 2nd StBelle Glade, FL 33430-3509
Phone 561-996-5804 · Fax 561-996-7455
Authorized official
Michael Donald Fliehs
Owner
5619965804
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