# CEPERO EYECARE CENTER, INC

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

## Provider details

- **NPI number:** 1740531417
- **Authorized official:** DR. ERNESTO CEPERO O.D. (PRESIDENT)
- **Authorized official phone:** (305) 858-4057

## Contact information

- **Practice address:** 1705 CORAL WAY, MIAMI, FL 33145-2728
- **Practice address phone:** (305) 858-4057
- **Practice address fax:** (305) 858-4053
- **Mailing address:** 1705 CORAL WAY, MIAMI, FL 33145-2728
- **Mailing address phone:** (305) 858-4057
- **Mailing address fax:** (305) 858-4053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC4698 | FL | Yes |
| 332H00000X | Eyewear Supplier | DO3239 | FL | — |

## Other

- **Enumeration date:** 09/21/2012
- **Last updated:** 10/05/2012