| Miami Optical Boutique Llc | |
|
1440 Nw North River Dr Miami FL 33125-2892 | |
| (305) 414-3020 | |
| Not Available |
| Full Name | Miami Optical Boutique Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1440 Nw North River Dr, Miami, Florida |
| Authorized Official Name and Position | Yamilla Diez (OWNER) |
| Authorized Official Contact | 8337656275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Optical Boutique Llc 1440 Nw North River Dr Miami FL 33125-2892 Ph: () - | Miami Optical Boutique Llc 1440 Nw North River Dr Miami FL 33125-2892 Ph: (305) 414-3020 |
| NPI Number | 1285496489 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 01/24/2024 |
| Medicare PECOS PAC ID | 8527405364 |
|---|---|
| Medicare Enrollment ID | O20240328001171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285496489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Sheryl Reaves |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023301280 PECOS PAC ID: 7315194826 Enrollment ID: I20150213000305 |
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