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Optical Boutique Inc.
Eyewear Supplier in Miami, Florida
NPI 1497954697

Optical Boutique Inc. is a Eyewear Supplier based in Miami, FL. Optical Boutique Inc. practices in Miami, FL. The NPI Number for Optical Boutique Inc. is 1497954697 and holds a License No. DO2329 (Florida).

The current practice location address for Optical Boutique Inc. is 901 Nw 17Th St, Miami, FL and can be reached out via phone at 305-324-0490 and via fax at 305-324-9890.

Location: 901 Nw 17Th St, Miami, FL, 33136-1135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497954697
Provider Name
Optical Boutique Inc.
Credential
Provider Entity Type
Organization
Address
901 Nw 17Th St, Miami, FL, 33136-1135
Phone Number
305-324-0490
Fax Number
305-324-9890
Provider Enumeration Date
07/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
078328500 05 FL
institution
Provider Business Practice Location Address Details
Address
901 Nw 17Th St
City
Miami
State
Florida
Zip
33136-1135
Phone Number
305-324-0490
Fax Number
305-324-9890
person
Provider Business Mailing Address Details
Address
901 Nw 17Th St
City
Miami
State
Florida
Zip
33136-1135
Phone Number
305-324-0490
Fax Number
305-324-9890
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
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Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
DO2329 (Florida)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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