- Practice location
- 1661 SW 37TH Ave, Ste. 102, Miami, FL 33145-1754
- Phone
- 305-461-2400
- Fax
- 305-461-2902
- Last updated
- May 14, 2014
1162 Military Trail LLC is a healthcare organization based in Miami, FL. The NPI number for 1162 Military Trail LLC is 1629489406. The current practice location address is 1661 SW 37TH Ave, Ste. 102, Miami, FL 33145-1754 and the office can be reached by phone at 305-461-2400 and by fax at 305-461-2902. The NPI was assigned on May 14, 2014 and the record was last updated in NPPES on May 14, 2014.
●Provider Profile Details
- NPI Number
- 1629489406
- Provider Name
- 1162 Military Trail LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Optometrist · 152W00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Galen Grayson, MD · Medical Director/Owner · 877-881-0022
- Enumeration Date
- May 14, 2014
- Last Update Date
- May 14, 2014
- NPI Status
- Active
- Other Names
- Laser Eye Center Of Miami (Doing Business As)
◉Business Practice Location Address
- Address
- 1661 SW 37TH Ave
Ste. 102
Miami, FL 33145-1754 - City
- Miami
- State
- Florida
- ZIP
- 33145-1754
- Country
- US
- Phone Number
- 305-461-2400
- Fax Number
- 305-461-2902
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Optometrist 193200000X - Multi-Specialty Group | 152W00000X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Miami →?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 at npiregistry.cms.hhs.gov.