Healthcare Provider Details

I. General information

NPI: 1215851076
Provider Name (Legal Business Name): RAY OPTICAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1231 SW 8TH STREET
MIAMI FL
33135
US

IV. Provider business mailing address

1231 SW 8TH STREET
MIAMI FL
33135
US

V. Phone/Fax

Practice location:
  • Phone: 305-858-1326
  • Fax:
Mailing address:
  • Phone: 305-858-1326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State

VIII. Authorized Official

Name: DANIEL AVILA
Title or Position: VICE PRESIDENT
Credential: OPTICIAN
Phone: 305-793-5309