Optical Boutique, Inc.

NPI Provider: 1497954697
Contact Name: Farias Carlos Juan
Position: owner
Phone: (305) 324-0490

Optical Boutique, Inc. Information:

Optical Boutique, Inc. organization have npi 1497954697, taxonomy code is 156FX1800X with license number is DO2329 in . This Business address located in 901 NW 17th St, Miami, FL 33136 Florida.

Practice Location
Address: 901 NW 17th St, Miami, FL 33136
Phone: (305) 324-0490

Business Location
Address: 901 NW 17th St, Miami, FL 33136
Phone: (305) 324-0490
Fax: (305) 324-9890

Taxonomy

Taxonomy Code: 156FX1800X

License Number: DO2329

License Number of State: FL

Primary Taxonomy Switch: Y

Enumeration Date: 7/17/2007

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