Healthcare Provider Details

I. General information

NPI: 1326081589
Provider Name (Legal Business Name): PARIS OPTICAL COMPANY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 09/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 NW 17 ST
MIAMI FL
33136
US

IV. Provider business mailing address

900 NW 17 ST
MIAMI FL
33136
US

V. Phone/Fax

Practice location:
  • Phone: 305-326-6095
  • Fax: 305-547-3648
Mailing address:
  • Phone: 305-326-6095
  • Fax: 305-547-3648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code156FX1700X
TaxonomyOcularist
License NumberD03141
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License NumberD03141
License Number StateFL

VIII. Authorized Official

Name: WILLIAM WINEGAR
Title or Position: PRESIDENT
Credential:
Phone: 305-326-6095