# PREMIER EYE GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JADE OPTICAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730458456
- **Authorized official:** DR. JESUS CUEVAS OD (OWNER/OFFICER)
- **Authorized official phone:** (305) 385-6885

## Contact information

- **Practice address:** 13852 SW 88TH ST, MIAMI, FL 33186-1304
- **Practice address phone:** (305) 804-0645
- **Practice address fax:** (305) 380-7106
- **Mailing address:** 9549 NW 41ST ST, DORAL, FL 33178-2371
- **Mailing address phone:** (305) 804-0645
- **Mailing address fax:** (305) 380-7106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 4122 | FL | Yes |

## Other

- **Enumeration date:** 12/27/2011
- **Last updated:** 04/01/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | OPC 4122 | OPTOMETRY LICENSE NUMBER | FL |