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Contact Information

MIAMI LAKES EYE CARE CENTER PA
15600 NW 67TH AVE
210
MIAMI LAKES, FL33014-2174
 Phone: 305-825-2020
 Fax: 305-556-0557
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MIAMI LAKES EYE CARE CENTER PA · (Female)

NPI # 1497772685
Status Active
Credentials
Entity Individual
Enumeration date 07/16/2006
Last updated 09/14/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME0047462
  • FL License # ME0047681
  • FL License # OPC002421
  • FL License # OPC004209
  • FL Medicaid 057288800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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