# CEO CENTER FOR EXECUTIVE OPHTHALMOLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CEO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215067954
- **Authorized official:** DR. ALFRED H RIVERA MD (PRESIDENT)
- **Authorized official phone:** (305) 666-2365

## Contact information

- **Practice address:** 10260 SW 56TH ST, SUITE 104, MIAMI, FL 33165-7015
- **Practice address phone:** (305) 666-2365
- **Practice address fax:** (305) 595-6352
- **Mailing address:** PO BOX 566120, PINECREST, FL 33256-6120
- **Mailing address phone:** (305) 666-2365
- **Mailing address fax:** (305) 279-3988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 12/06/2012