# OPTICA MESA CORP

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

## Provider details

- **NPI number:** 1851260350
- **Authorized official:** JOSE M MESA (MANAGER)
- **Authorized official phone:** (305) 303-0440

## Contact information

- **Practice address:** 750 S FEDERAL HWY STE B, HOLLYWOOD, FL 33020-5424
- **Practice address phone:** (305) 303-0440
- **Mailing address:** 750 S FEDERAL HWY STE B, HOLLYWOOD, FL 33020-5424
- **Mailing address phone:** (305) 303-0440

## Taxonomy

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

## Other

- **Enumeration date:** 11/03/2025
- **Last updated:** 11/03/2025
