Healthcare Provider Details

I. General information

NPI: 1093663809
Provider Name (Legal Business Name): UC EYE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7950 NW 53RD ST STE 108
DORAL FL
33166-4681
US

IV. Provider business mailing address

8221 DUNDEE TER
MIAMI LAKES FL
33016-1410
US

V. Phone/Fax

Practice location:
  • Phone: 305-364-3737
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: GIANNIE MARIE CASTELLANOS
Title or Position: OWNER
Credential:
Phone: 786-318-7600