# EYE CARE OPTICAL, LLC

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

## Provider details

- **NPI number:** 1487080347
- **Authorized official:** SAIRA A. CHOUDHRI M.D. (OWNER)
- **Authorized official phone:** (407) 483-0328

## Contact information

- **Practice address:** 1124 CYPRESS GLEN CIR, KISSIMMEE, FL 34741-7559
- **Practice address phone:** (407) 483-0328
- **Practice address fax:** (407) 483-0329
- **Mailing address:** 1124 CYPRESS GLEN CIR, KISSIMMEE, FL 34741-7559
- **Mailing address phone:** (407) 483-0328
- **Mailing address fax:** (407) 483-0329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME99107 | FL | Yes |

## Other

- **Enumeration date:** 09/23/2013
- **Last updated:** 09/23/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 280033100 | — | FL |
