# ABC OPTOMETRY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184883662
- **Authorized official:** DR. SIMA YACOUB O.D. (OPTOMETRIST)
- **Authorized official phone:** (786) 239-8279

## Contact information

- **Practice address:** 8748 BIRD RD, MIAMI, FL 33165-5471
- **Practice address phone:** (305) 227-5467
- **Practice address fax:** (305) 227-5895
- **Mailing address:** 1525 ANCONA AVE, CORAL GABLES, FL 33146-1905
- **Mailing address phone:** (786) 239-8279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 3844 | FL | Yes |

## Other

- **Enumeration date:** 06/09/2008
- **Last updated:** 07/06/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000065000 | — | FL |