# MIAMI LAKES EYE CARE CENTER PA

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

## Provider details

- **NPI number:** 1497772685
- **Authorized official:** MRS. BARBARA ZAMBRANO (ADMINISTRATOR)
- **Authorized official phone:** (305) 825-2020

## Contact information

- **Practice address:** 15600 NW 67TH AVE, 210, MIAMI LAKES, FL 33014-2174
- **Practice address phone:** (305) 825-2020
- **Practice address fax:** (305) 556-0557
- **Mailing address:** 15600 NW 67TH AVE, 210, MIAMI LAKES, FL 33014-2174
- **Mailing address phone:** (305) 825-2020
- **Mailing address fax:** (305) 556-0557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC002421 | FL | — |
| 152W00000X | Optometrist | OPC004209 | FL | — |
| 207W00000X | Ophthalmology Physician | ME0047462 | FL | — |
| 207W00000X | Ophthalmology Physician | ME0047681 | FL | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 09/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 057288800 | — | FL |