Organization
FOR EYES OPTICAL OF PA
Active
Other names
For Eyes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE COSTA (CEO)
(305) 557-9004
Entity
Organization
Contact information
Practice address
9 W MADISON ST, CHICAGO, IL 60602
(312) 857-2020
Mailing address
3601 SW 160TH AVE STE 400, MIRAMAR, FL 33027-6312
(305) 557-9004
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
06/21/2018
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