For Eyes Optical Of Coconut Grove
Eyewear Supplier (Equipment, not the service) in Orlando, FL. Organization (NPI-2).
NPI number1306996491
StatusActive
Last updated in NPPESJun 6, 2018
Details
- NPI
- 1306996491
- Entity type
- Organization (NPI-2)
- Legal business name
- For Eyes Optical Of Coconut Grove
- Organization subpart
- No
- Enumeration date
- Jan 11, 2007
- Last updated
- Jun 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | DO 5154 | FL | Yes |
Other names
- For Eyes (Doing Business As)
Practice location
4192 Conroy RdSuite 111
Orlando, FL 32839
Phone 407-209-3704 · Fax 407-226-7020
Mailing address
3601 Sw 160th AveSuite 400
Miramar, FL 33027-6308
Phone 305-557-9004 · Fax 855-881-9434
Authorized official
Jose Costa
Ceo
3055579004
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