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General NPI Number Information
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NPI Number | 1003703026
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Entity Type | Organization
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Legal Business Name | LUZ Y VISION LLC
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 3335 W 4TH AVE
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City | HIALEAH
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State | FL
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Zip | 33012-4360
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Country | US
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Telephone | 786-899-0092
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Fax |
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Provider Business Mailing Address
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Address Line | 3335 W 4TH AVE
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City | HIALEAH
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State | FL
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Zip | 33012-4360
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LUIS F FELIPE
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Credential | MD
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Telephone | 305-299-8375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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