Organization
MIAMI SHORES OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEY CONSTANTINE WILLIAMS O.D. (OWNER/OPTOMETRIST)
(786) 313-3048
Entity
Organization
Contact information
Practice address
9440 NE 2ND AVE, MIAMI SHORES, FL 33138-2703
(786) 313-3048
(786) 313-3051
Mailing address
9440 NE 2ND AVE, MIAMI SHORES, FL 33138-2703
(786) 313-3048
(786) 313-3051
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3388
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620628000
—
FL
Enumeration date
11/29/2011
Last updated
11/29/2011
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