# BLINKING OWL EYECARE LLC

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

## Provider details

- **NPI number:** 1629546007
- **Authorized official:** FATEN EDRISKHALAF OD (OWNER)
- **Authorized official phone:** (786) 452-6690

## Contact information

- **Practice address:** 5800 S UNIVERSITY DR, DAVIE, FL 33328-6102
- **Practice address phone:** (954) 252-2583
- **Mailing address:** 50 BISCAYNE BLVD APT 3602, MIAMI, FL 33132-2943
- **Mailing address phone:** (786) 452-6690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 11/05/2018
- **Last updated:** 11/05/2018