Optic Planet LLC

NPI #1134800030 in Miami Lakes, Florida

Provider Information

NPI Number: 1134800030
Entity Type: Organization
Organization Name: Optic Planet LLC
Primary Specialty: Optometrist
Enumeration Date: Jul 25, 2023
Last Updated: Jul 26, 2023

Practice Location

Address: 15332 NW 79TH CT
City: Miami Lakes
State: Florida
ZIP Code: 33016-5808
Phone: (305) 821-0304

Authorized Official

Name: MS. DENISE MARTIN
Title: BILLER
Phone: (305) 821-0304

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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