Provider Demographics
NPI:1003187568
Name:VISION UNLIMITED EYE CONSULTANTS PA
Entity Type:Organization
Organization Name:VISION UNLIMITED EYE CONSULTANTS PA
Other - Org Name:SALOMON ESQUENAZI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SALOMON
Authorized Official - Middle Name:
Authorized Official - Last Name:ESQUENAZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-733-9799
Mailing Address - Street 1:6000 ISLAND BLVD
Mailing Address - Street 2:SUITE 906
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-3762
Mailing Address - Country:US
Mailing Address - Phone:305-733-9799
Mailing Address - Fax:
Practice Address - Street 1:1608 TOWN CENTER CIR
Practice Address - Street 2:SUITE C
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3639
Practice Address - Country:US
Practice Address - Phone:954-384-1127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-15
Last Update Date:2012-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90955207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty