Organization
FOR EYES OPTICAL OF PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM GRIFFIN (MANAGER)
(305) 557-9004
Entity
Organization
Contact information
Practice address
1630 WALNUT ST, PHILADELPHIA, PA 19103-5403
(215) 546-2227
Mailing address
3601 SW 160TH AVE STE 400, MIRAMAR, FL 33027-6312
(305) 557-9007
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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