Organization
OPTICA LAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHAITH A BASHOUR (PRESIDENT)
(305) 987-6662
Entity
Organization
Contact information
Practice address
2800 W 84TH ST, BAY 8, HIALEAH, FL 33018-4922
(305) 362-3937
Mailing address
2800 W 84TH ST, BAY 8, HIALEAH, FL 33018-4922
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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