Optical Boutique Inc.
LBN: Optical Boutique Inc.
Optical Boutique Inc. is an health care organization with primary practice located at 901 Nw 17Th St Suite P, Miami FL 33136-1135. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty.
Optical Boutique Inc. can be contacted via phone (305) 324-0490, or through Farias, Juan Carlos via phone (305) 324-0490.
Contact Information
Primary practice address
901 Nw 17Th St Suite P
Miami FL 33136-1135
Phone: (305) 324-0490
Fax: (305) 324-9890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | DO2329 | Florida |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1497954697 |
|---|---|
| LBN Legal business name | Optical Boutique Inc. |
| DBA Doing business as | |
| Authorized official | Farias, Juan Carlos |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 17th, 2007 |
| Last updated | Jul 18th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497954697 | NPPES |
| Florida | MEDICAID | 078328500 |
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