- Practice location
- 1661 SW 37TH Ave, #102, Miami, FL 33145-1754
- Phone
- 305-774-0891
- Fax
- 305-774-0894
- Last updated
- December 14, 2012
1162 Military Trail LLC is a healthcare organization based in Miami, FL. The NPI number for 1162 Military Trail LLC is 1962748244. The current practice location address is 1661 SW 37TH Ave, #102, Miami, FL 33145-1754 and the office can be reached by phone at 305-774-0891 and by fax at 305-774-0894. The NPI was assigned on December 14, 2012 and the record was last updated in NPPES on December 14, 2012.
●Provider Profile Details
- NPI Number
- 1962748244
- Provider Name
- 1162 Military Trail LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Ophthalmology · 207W00000X
- Organization Subpart
- No
- Authorized Official
- Erica Perreira · Chief Operating Officer · 877-881-0022
- Enumeration Date
- December 14, 2012
- Last Update Date
- December 14, 2012
- NPI Status
- Active
- Other Names
- The Eye Gallery-Miami (Doing Business As)
◉Business Practice Location Address
- Address
- 1661 SW 37TH Ave
#102
Miami, FL 33145-1754 - City
- Miami
- State
- Florida
- ZIP
- 33145-1754
- Country
- US
- Phone Number
- 305-774-0891
- Fax Number
- 305-774-0894
✉Business Mailing Address
- Address
- 8076 W Sahara Ave
Las Vegas, NV 89117-7930 - City
- Las Vegas
- State
- NV
- ZIP
- 89117-7930
- Phone Number
- 877-881-0022
- Fax Number
- 702-543-0314
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Optometrist 193200000X - Multi-Specialty Group | 152W00000X | No | — | FL |
| Ophthalmology 193200000X - Multi-Specialty Group | 207W00000X | Yes | — | FL |
#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 1962748244. It was assigned on December 14, 2012 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 Ophthalmology (code 207W00000X).
Where does 1162 Military Trail LLC practice?
The practice location is 1661 SW 37TH Ave, #102, Miami, FL 33145-1754. The office can be reached at 305-774-0891 (phone) or 305-774-0894 (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 1962748244 directly on the NPPES registry website at npiregistry.cms.hhs.gov.