Organization
VIP UNIVIDA OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YISELL ALFONSO DO (OWNER)
(786) 339-0099
Entity
Organization
Contact information
Practice address
101 NW 57TH AVE, MIAMI, FL 33126-4804
(305) 239-2515
Mailing address
101 NW 57TH AVE, MIAMI, FL 33126-4804
(305) 239-2515
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
07/30/2024
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