Super Optical Center
Technician/Technologist, Ophthalmic in Hialeah, FL. Organization (NPI-2).
NPI number1457555005
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1457555005
- Entity type
- Organization (NPI-2)
- Legal business name
- Super Optical Center
- Organization subpart
- No
- Enumeration date
- Jun 14, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1100X | Technician/Technologist, Ophthalmic | – | – | Yes |
Practice location
3805 W 16th AveHialeah, FL 33012-7004
Phone 305-821-7654
Mailing address
3805 W 16th AveHialeah, FL 33012-7004
Authorized official
Carmen Lopez
Vice-President
3058217654
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