Organization
ABC OPTOMETRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMA YACOUB O.D. (OPTOMETRIST)
(786) 239-8279
Entity
Organization
Contact information
Practice address
8748 BIRD RD, MIAMI, FL 33165-5471
(305) 227-5467
(305) 227-5895
Mailing address
1525 ANCONA AVE, CORAL GABLES, FL 33146-1905
(786) 239-8279
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3844
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000065000
—
FL
Enumeration date
06/09/2008
Last updated
07/06/2012
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