Organization
OPTICAL ONE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAIMY OLIVERA (OWNER)
(305) 207-5990
Entity
Organization
Contact information
Practice address
11865 SW 26TH ST, C-27, MIAMI, FL 33175-2400
(305) 207-5990
Mailing address
11865 SW 26TH ST, C-27, MIAMI, FL 33175-2400
(305) 207-5990
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
600007-9
FL
Other
Enumeration date
07/12/2007
Last updated
04/20/2008
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