# 1162 MILITARY TRAIL LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** The Eye Gallery-Miami
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962748244
- **Authorized official:** ERICA PERREIRA (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (877) 881-0022

## Contact information

- **Practice address:** 1661 SW 37TH AVE, \#102, MIAMI, FL 33145-1754
- **Practice address phone:** (305) 774-0891
- **Practice address fax:** (305) 774-0894
- **Mailing address:** 8076 W SAHARA AVE, LAS VEGAS, NV 89117-7930
- **Mailing address phone:** (877) 881-0022
- **Mailing address fax:** (702) 543-0314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | FL | — |
| 207W00000X | Ophthalmology Physician | — | FL | Yes |

## Other

- **Enumeration date:** 12/14/2012
- **Last updated:** 12/14/2012