Healthcare Provider Details

I. General information

NPI: 1134677990
Provider Name (Legal Business Name): CENTER FOR EYE SURGERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2016
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6660 SW 117TH AVE
MIAMI FL
33183-2826
US

IV. Provider business mailing address

6660 SW 117TH AVE
MIAMI FL
33183-2826
US

V. Phone/Fax

Practice location:
  • Phone: 305-661-8588
  • Fax: 305-661-4963
Mailing address:
  • Phone: 305-661-8588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QS0132X
TaxonomyOphthalmologic Surgery Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ZACHARY KAUFFMAN SEGAL
Title or Position: PRESIDENT
Credential: MD
Phone: 305-661-8588