Organization
FABILENS CORP
Active
Other names
EXPRESS OPTIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCO ENCINA (OWNER)
(786) 228-7932
Entity
Organization
Contact information
Practice address
7450 NW 104TH AVE UNIT C103, DORAL, FL 33178-3360
(786) 228-7932
Mailing address
7450 NW 104TH AVE UNIT C103, DORAL, FL 33178-3360
(786) 228-7932
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3384
FL
156FX1800X
Optician
DO6821
FL
Other
Enumeration date
10/29/2016
Last updated
10/24/2017
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