Organization
SUPER OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE HERRERA (MANAGER)
(305) 821-7654
Entity
Organization
Contact information
Practice address
3805 W 16TH AVE, HIALEAH, FL 33012-7004
(305) 821-7654
Mailing address
3805 W 16TH AVE, HIALEAH, FL 33012-7004
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
FL
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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