Organization
FOR EYES OPTICAL OF PA
Active
Other names
For Eyes
Organization subpart
No
Provider details
NPI number
Authorized official
KIM GRIFFIN (MANAGER)
(305) 557-9004
Entity
Organization
Contact information
Practice address
474 RANDALL RD UNIT 300, SOUTH ELGIN, IL 60177-3317
(847) 214-8076
(847) 214-8249
Mailing address
3601 SW 160TH AVE STE 400, MIRAMAR, FL 33027-6312
(305) 557-9004
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
161093
IL
Other
Enumeration date
05/21/2007
Last updated
02/27/2020
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