Healthcare Provider Details

I. General information

NPI: 1699058313
Provider Name (Legal Business Name): OCULAR BENEFITS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2011
Last Update Date: 09/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4205 W ATLANTIC AVE SUITE 401
DELRAY BEACH FL
33445-3901
US

IV. Provider business mailing address

4205 W ATLANTIC AVE SUITE 401
DELRAY BEACH FL
33445-3901
US

V. Phone/Fax

Practice location:
  • Phone: 561-455-9002
  • Fax:
Mailing address:
  • Phone: 561-455-9002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: MR. RALPH FOXMAN
Title or Position: C.E.O.
Credential: D.D.S.
Phone: 301-980-9790