# OPTIC PLANET LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Mauri eye associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134800030
- **Authorized official:** MS. DENISE MARTIN (BILLER)
- **Authorized official phone:** (305) 821-0304

## Contact information

- **Practice address:** 15332 NW 79TH CT, MIAMI LAKES, FL 33016-5808
- **Practice address phone:** (305) 821-0304
- **Practice address fax:** (305) 558-0641
- **Mailing address:** 15332 NW 79TH CT, MIAMI LAKES, FL 33016-5808
- **Mailing address phone:** (305) 821-0304
- **Mailing address fax:** (305) 558-0641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2023
- **Last updated:** 07/26/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1285159178 | NPI | FL |
| 01 | — | 1669133625 | NPI | FL |
| 01 | — | 1811144850 | NPI | FL |