Organization
COUTURE EYES OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YANISLAV SHOR D.O. (PRESIDEN)
(305) 940-0200
Entity
Organization
Contact information
Practice address
3505 NE 163RD ST, NORTH MIAMI BEACH, FL 33160-4101
(305) 940-0200
Mailing address
3505 NE 163RD ST, NORTH MIAMI BEACH, FL 33160-4101
(305) 940-0200
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OE2068
FL
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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