Healthcare Provider Details
I. General information
NPI: 1164537361
Provider Name (Legal Business Name): OCUVISION EYECARE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/20/2006
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8150 SW 8TH ST STE 107
MIAMI FL
33144-4264
US
IV. Provider business mailing address
13876 SW 56TH ST STE 335
MIAMI FL
33175-6021
US
V. Phone/Fax
- Phone: 303-382-2424
- Fax: 786-803-8709
- Phone: 305-382-2424
- Fax: 786-803-8709
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GUILLERMO
ARENCIBIA
Title or Position: PRESIDENT
Credential: OD
Phone: 305-382-2424