=====================================================
General NPI Number Information
=====================================================
NPI Number | 1215851076
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RAY OPTICAL CORP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/05/2026
-----------------------------------------------------
Last Update Date | 08/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1231 SW 8TH STREET
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33135
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-858-1326
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1231 SW 8TH STREET
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33135
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-858-1326
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VICE PRESIDENT
-----------------------------------------------------
Name | DANIEL AVILA
-----------------------------------------------------
Credential | OPTICIAN
-----------------------------------------------------
Telephone | 305-793-5309
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 156FX1800X
-----------------------------------------------------
Taxonomy Name | Optician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------