Healthcare Provider Details
I. General information
NPI: 1871654129
Provider Name (Legal Business Name): EYECON INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/12/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4304 ALTON RD LOWENSTEIN BLDG MAILBOX 119
MIAMI BEACH FL
33140-2885
US
IV. Provider business mailing address
4304 ALTON RD LOWENSTEIN BLDG MAILBOX 432
MIAMI BEACH FL
33140-2885
US
V. Phone/Fax
- Phone: 305-535-7007
- Fax: 305-535-7021
- Phone: 305-535-7007
- Fax: 305-535-7021
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332H00000X |
| Taxonomy | Eyewear Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
BARBARA
BERNSTEIN
Title or Position: PRESIDENT MANAGER
Credential:
Phone: 305-535-7007