# CEO CENTER FOR EXECUTIVE OPHTHALMOLOGY

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

## Provider details

- **NPI number:** 1912113226
- **Authorized official:** DR. ALFRED H RIVERA MD (PRESIDENT)
- **Authorized official phone:** (305) 666-2365

## Contact information

- **Practice address:** 6233 N UNIVERSITY DR, TAMARAC, FL 33321-4022
- **Practice address phone:** (954) 721-0000
- **Practice address fax:** (954) 721-6308
- **Mailing address:** PO BOX 566120, PINECREST, FL 33256-6120
- **Mailing address phone:** (305) 666-2365
- **Mailing address fax:** (305) 595-6352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | FL | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 07/29/2008
