Organization
ILAB1, LLC
Active
Other names
My Eye Lab
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BENNETT (CREDENTIALING MANAGER)
(561) 612-4531
Entity
Organization
Contact information
Practice address
3016 E COLONIAL DR, ORLANDO, FL 32803-5006
(561) 275-2020
Mailing address
2701 W OAKLAND PARK BLVD # 410-7, OAKLAND PARK, FL 33311-1388
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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