Provider Demographics
NPI:1104374578
Name:SANZ INVESTMENTS USA LLC
Entity Type:Organization
Organization Name:SANZ INVESTMENTS USA LLC
Other - Org Name:YOUNG EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:LAETITIA
Authorized Official - Middle Name:VICKY
Authorized Official - Last Name:SANZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-403-3937
Mailing Address - Street 1:10676 NW 19TH ST
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-2542
Mailing Address - Country:US
Mailing Address - Phone:305-403-3937
Mailing Address - Fax:305-403-6967
Practice Address - Street 1:10676 NW 19TH ST
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-2542
Practice Address - Country:US
Practice Address - Phone:305-403-3937
Practice Address - Fax:305-403-6967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-14
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDO1409332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier