Organization
MIAMI OPTICAL BOUTIQUE LLC
Active
Other names
MIAMI OPTICAL BOUTIQUE
Organization subpart
No
Provider details
NPI number
Authorized official
YAMILLA DIEZ (OWNER)
(833) 765-6275
Entity
Organization
Contact information
Practice address
1440 NW NORTH RIVER DR, MIAMI, FL 33125-2892
(305) 414-3020
Mailing address
1440 NW NORTH RIVER DR, MIAMI, FL 33125-2892
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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