Organization
ERIC BRAUCH OD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BRAUCH O.D. (OPTOMETRIST)
(305) 898-1930
Entity
Organization
Contact information
Practice address
3805 W 16TH AVE, HIALEAH, FL 33012-7004
(305) 898-1930
(305) 821-3159
Mailing address
3805 W 16TH AVE, HIALEAH, FL 33012-7004
(305) 898-1930
(305) 821-3159
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3201
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620399000
—
FL
05
—
620399001
—
FL
05
—
620399002
—
FL
Enumeration date
09/12/2013
Last updated
09/12/2013
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