Organization
COLLS OPTICAL,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM B RODRIGUEZ OPTICIAN (PRESIDENT)
(786) 607-8733
Entity
Organization
Contact information
Practice address
2450 SW 137TH AVE, SUITE 213, MIAMI, FL 33175-8802
(786) 607-8733
Mailing address
2450 SW 137TH AVE, SUITE 213, MIAMI, FL 33175-8802
(786) 607-8733
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
DO5428
FL
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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