MEDICARE: SNG LABS-SNG PROSTHETIC EYE INSTITUTE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801209572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SNG LABS-SNG PROSTHETIC EYE INSTITUTE, INC.

Provider Business Mailing Address
First Line	:	16244 S MILITARY TRL STE 420
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-6505
Country	:	US
Telephone Number	:	561-391-7099
Fax Number	:	561-354-5367

Provider Business Practice Location Address
First Line	:	1701 NE 164TH ST
Second Line	:	SUITE 200
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-4018
Country	:	US
Telephone Number	:	561-391-7099
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NICOLE GARONZIK
Credential	:
Telephone Number	:	561-391-7099

Provider Enumeration Date	:	06/10/2014
Last Update Date	:	08/15/2022

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