Organization
KENDALL EYE OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE E SILVA JR. LDO (OWNER)
(305) 271-4544
Entity
Organization
Contact information
Practice address
8501 SW 124TH AVE STE 109, MIAMI, FL 33183-4631
(305) 271-4544
(305) 271-2688
Mailing address
8501 SW 124TH AVE STE 109, MIAMI, FL 33183-4631
(305) 271-4544
(305) 271-2688
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
DO5313
FL
332H00000X
Eyewear Supplier
Primary
DO5313
FL
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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