Organization
2010 OPTICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL SALAS (PRESIDENT)
(305) 362-4020
Entity
Organization
Contact information
Practice address
5645 NW 87TH AVE SUITE 100, DORAL, FL 33178
(305) 362-4020
(305) 362-2592
Mailing address
5645 NW 87TH AVE SUITE 100, DORAL, FL 33178
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
156FX1800X
Optician
—
—
Other
Enumeration date
05/08/2024
Last updated
01/13/2025
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