Organization
EYE CARE OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAIRA A. CHOUDHRI M.D. (OWNER)
(407) 483-0328
Entity
Organization
Contact information
Practice address
1124 CYPRESS GLEN CIR, KISSIMMEE, FL 34741-7559
(407) 483-0328
(407) 483-0329
Mailing address
1124 CYPRESS GLEN CIR, KISSIMMEE, FL 34741-7559
(407) 483-0328
(407) 483-0329
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME99107
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280033100
—
FL
Enumeration date
09/23/2013
Last updated
09/23/2013
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