Organization
FOR EYES OPTICAL OF COCONUT GROVE
Active
Other names
For Eyes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP WOLMAN (OWNER)
(305) 557-9004
Entity
Organization
Contact information
Practice address
16201 NW 57TH AVE, MIAMI LAKES, FL 33014-6709
(305) 628-1200
Mailing address
285 W 74TH PL, HIALEAH, FL 33014-5058
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
DO 1565
FL
Other
Enumeration date
02/06/2007
Last updated
10/30/2013
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