Buena Vista Vision Club, INC

NPI #1972072494 in Miami, Florida

Provider Information

NPI Number: 1972072494
Entity Type: Organization
Organization Name: Buena Vista Vision Club, INC
Primary Specialty: Optometrist
Enumeration Date: Nov 14, 2018
Last Updated: Nov 14, 2018

Practice Location

Address: 13780 SW 26TH ST STE 201
City: Miami
State: Florida
ZIP Code: 33175-6302
Phone: (305) 439-2015

Authorized Official

Name: DR. LIETA DIAZ PADRON, OD
Title: OWNER
Phone: (305) 713-8170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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