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Organization
OPTICAL CENTER EXPRESS, LLC
Active
Organization
OPTICAL CENTER EXPRESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL PEREZ (MANAGER)
(305) 401-2163
Entity
Organization
Contact information
Practice address
900 NW 17TH ST, MIAMI, FL 33136-1119
(305) 326-6092
Mailing address
900 NW 17TH ST, MIAMI, FL 33136-1119
(305) 326-6092
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
156FC0800X
Contact Lens Technician/Technologist
—
NULL
156FC0800X
Contact Lens Technician/Technologist
—
—
156FX1800X
Optician
—
NULL
156FX1800X
Optician
—
—
Other
Enumeration date
06/06/2019
Last updated
03/09/2020
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