Organization
SOUTH SHORE OPTICIANS LAUDERHILL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELYSE YABLON-WIXON OPTICIAN (PRESIDENT)
(954) 792-9111
Entity
Organization
Contact information
Practice address
1375 I NORTH STATE ROAD 7, LAUDERHILL, FL 33313
(954) 792-9111
(954) 792-9710
Mailing address
1375 I NORTH STATE ROAD 7, LAUDERHILL, FL 33313
(954) 792-9111
(954) 792-9710
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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