Organization
OPTICARE DIRECT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH BOGOMILSKY (OWNER)
(718) 722-0268
Entity
Organization
Contact information
Practice address
1140 NW 159TH DR, MIAMI GARDENS, FL 33169-5808
(718) 722-0269
Mailing address
1140 NW 159TH DR, MIAMI GARDENS, FL 33169-5808
(718) 722-0269
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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