Organization
LOLY'S OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLORES CARMEN MACEDA (PRESIDENT)
(305) 446-8220
Entity
Organization
Contact information
Practice address
3727 SW 8TH ST, SUITE 103, CORAL GABLES, FL 33134-3158
(305) 446-8220
(305) 445-6903
Mailing address
3727 SW 8TH ST, SUITE 103, CORAL GABLES, FL 33134-3158
(305) 446-8220
(305) 445-6903
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2566
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086354800
—
FL
Enumeration date
04/26/2007
Last updated
07/11/2007
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