Healthcare Provider Details

I. General information

NPI: 1992301287
Provider Name (Legal Business Name): VALE OPTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2020
Last Update Date: 02/19/2021
Certification Date: 02/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3321 W HILLSBORO BLVD
DEERFIELD BEACH FL
33442
US

IV. Provider business mailing address

8699 EAGLE RUN DR
BOCA RATON FL
33434-5408
US

V. Phone/Fax

Practice location:
  • Phone: 754-345-0120
  • Fax: 561-828-8367
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: DANIEL GARZA
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 561-720-6423