Organization
CUKIERMAN & KOEPNICK EYECARE, INC.
Active
Other names
C & K EyeCare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE MITCHELL KOEPNICK O.D. (OWNER)
(305) 271-1364
Entity
Organization
Contact information
Practice address
11654 N KENDALL DR, MIAMI, FL 33176-1005
(305) 271-1364
(305) 596-4237
Mailing address
11654 N KENDALL DR, MIAMI, FL 33176-1005
(305) 271-1364
(305) 596-4237
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2066
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20582Z
DR. KOEPNICK'S MEDICARE NUMBER
—
05
—
620625500
—
FL
01
—
K2655
GROUP MEDICARE IDENTIFICATION NUMBER
—
Enumeration date
11/01/2010
Last updated
11/01/2010
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