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Organization
REVITAL EYES PA
Active
Organization
REVITAL EYES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL SHLOMOV OD (OWNER)
(917) 652-2046
Entity
Organization
Contact information
Practice address
19355 TURNBERRY WAY APT 2C, MIAMI, FL 33180-2532
(917) 652-2046
Mailing address
19355 TURNBERRY WAY APT 2C, MIAMI, FL 33180-2532
(917) 652-2046
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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