Organization
SITE 4 SIGHT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS BONILLA OPTICIAN (CARLOS BONILLA)
(954) 458-2268
Entity
Organization
Contact information
Practice address
645 W HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-5344
(954) 458-2268
(954) 458-2278
Mailing address
645 W HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-5344
(954) 458-2268
(954) 458-2278
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC3655
FL
332H00000X
Eyewear Supplier
Primary
OE1792
FL
Other
Enumeration date
02/17/2010
Last updated
05/14/2019
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