Active NPIOrganization

1162 Military Trail LLC

Optometrist in Miami, Florida

NPI Number1629489406
Practice location
1661 SW 37TH Ave, Ste. 102, Miami, FL 33145-1754
Fax
305-461-2902
Last updated
May 14, 2014

1162 Military Trail LLC is a healthcare organization based in Miami, FL. 1162 Military Trail LLC practices in Miami, FL. The NPI Number for 1162 Military Trail LLC is 1629489406. The current practice location address for 1162 Military Trail LLC is 1661 SW 37TH Ave, Ste. 102, Miami, FL 33145-1754 and can be reached out via phone at 305-461-2400 and via fax at 305-461-2902.

Provider Profile Details

NPI Number
1629489406
Provider Name
1162 Military Trail LLC
Provider Entity Type
Organization
Address
1661 SW 37TH Ave, Ste. 102, Miami, FL 33145-1754
Phone Number
305-461-2400
Fax Number
305-461-2902
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Dr. Galen Grayson, MD · Medical Director/Owner · 877-881-0022
Other Names
Laser Eye Center Of Miami (Doing Business As)
Provider Enumeration Date
May 14, 2014
Last Update Date
May 14, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1661 SW 37TH Ave
Ste. 102
Miami, FL 33145-1754
City
Miami
State
Florida
Zip
33145-1754
Phone Number
305-461-2400
Fax Number
305-461-2902
Miami, FL 33145Get directions →

Provider Business Mailing Address Details

Address
1661 SW 37TH Ave
Ste. 102
Miami, FL 33145-1754
City
Miami
State
FL
Zip
33145-1754
Phone Number
305-461-2400
Fax Number
305-461-2902

License Information

Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of 1162 Military Trail LLC?

The NPI number of 1162 Military Trail LLC is 1629489406. It was assigned on May 14, 2014 and is currently active in the NPPES registry.

What is the specialty of 1162 Military Trail LLC?

1162 Military Trail LLC is registered under the primary taxonomy Optometrist (code 152W00000X).

Where does 1162 Military Trail LLC practice?

The practice location is 1661 SW 37TH Ave, Ste. 102, Miami, FL 33145-1754. The office can be reached at 305-461-2400 (phone) or 305-461-2902 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629489406 directly on the NPPES registry website.

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