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General NPI Number Information
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NPI Number | 1942227020
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Entity Type | Organization
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Legal Business Name | PEDIATRIC EYE ASSOCIATES INC
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 3400 NE 192ND ST PH 9
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City | AVENTURA
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State | FL
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Zip | 33180-2460
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Country | US
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Telephone | 954-885-6575
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Fax | 954-885-6572
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Provider Business Mailing Address
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Address Line | 3400 NE 192ND ST PH 9
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City | AVENTURA
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State | FL
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Zip | 33180-2460
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Country | US
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Telephone | 954-885-6575
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Fax | 954-885-6572
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GARIMA LAL
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Credential | MD
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Telephone | 954-885-6575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME87224
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License Number State | FL
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