Organization
1162 MILITARY TRAIL LLC
Active
Other names
The Eye Gallery-Miami
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA PERREIRA (CHIEF OPERATING OFFICER)
(877) 881-0022
Entity
Organization
Contact information
Practice address
1661 SW 37TH AVE, #102, MIAMI, FL 33145-1754
(305) 774-0891
(305) 774-0894
Mailing address
8076 W SAHARA AVE, LAS VEGAS, NV 89117-7930
(877) 881-0022
(702) 543-0314
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
FL
207W00000X
Ophthalmology Physician
Primary
—
FL
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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