MEDICARE: SANTA LUCIA OPTICAL 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	332H00000X	Eyewear Supplier	OE1635	FL

General Provider Information

NPI Number	:	1801262084
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANTA LUCIA OPTICAL INC

Provider Business Mailing Address
First Line	:	11300 NW 87TH CT STE 115
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-4516
Country	:	US
Telephone Number	:	305-817-1818
Fax Number	:

Provider Business Practice Location Address
First Line	:	11300 NW 87TH CT STE 115
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-4516
Country	:	US
Telephone Number	:	305-817-1818
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALFREDO GILL
Credential	:
Telephone Number	:	305-817-1818

Provider Enumeration Date	:	08/11/2015
Last Update Date	:	08/11/2015

Similar Medicare Providers

1073395463 — LOPEZ CAPITOL GROUP CORP
Practice Location Address:

11300 NW 87 CT , SUITE 109
HIALEAH GARDENS, FL
33018-4516

Practice Phone: 305-967-8586
Practice Fax: 305-967-8421

1821984451 — LOPEZ CAPITOL GROUP CORP
Practice Location Address:

11300 NW 87TH CT STE 109
HIALEAH GARDENS, FL
33018-4516

Practice Phone: 305-967-8586
Practice Fax:

1891231205 — DR. BETHANIA CARRION PSY.D.
Practice Location Address:

67 NW 183RD ST STE 105
MIAMI GARDENS, FL
33169-4516

Practice Phone: 786-860-2468
Practice Fax:

1407672561 — GUIDED INSIGHT PSYCHOLOGY LLC
Practice Location Address:

67 NW 183RD ST STE 105
MIAMI GARDENS, FL
33169-4516

Practice Phone: 786-860-2468
Practice Fax: 305-863-4233

1346127537 — BRIGHT HARBOR BEHAVIORAL CARE CORP
Practice Location Address:

67 NW 183RD ST STE 107
MIAMI GARDENS, FL
33169-4516

Practice Phone: 786-872-5771
Practice Fax:

1760166243 — HELEN MARICHAL
Practice Location Address:

8992 NW 112TH TER
HIALEAH GARDENS, FL
33018-4517

Practice Phone: 786-307-8250
Practice Fax:

Directions to “SANTA LUCIA OPTICAL INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.