Organization · NPI-2

Bustelos Optical, INC

Technician/Technologist, Optician · Coral Gables, FL

NPI number1962973685
StatusActive
Last updated in NPPESFeb 13, 2025

Details

NPI
1962973685
Entity type
Organization (NPI-2)
Legal business name
Bustelos Optical, INC
Organization subpart
No
Enumeration date
Dec 6, 2018
Certification date
Feb 13, 2025
Last updated
Feb 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician––Yes

Practice location

4813 Sw 8th St
Coral Gables, FL 33134-2522

Phone 786-308-9960 · Fax 786-431-1782

Mailing address

2823 Sw 36th Ct
Miami, FL 33133-3421

Phone 786-308-9960

Other practice locations

7911 Nw 72nd Ave Ste 111
Medley, FL 33166-2221

Phone 786-308-9960 · Fax 786-431-1782

Authorized official

Nashieli Garcia
President
7863089960

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