Provider Demographics
NPI:1114116902
Name:LAGOMARSINI, ALBERT ANGEL (OD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:ANGEL
Last Name:LAGOMARSINI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13864 SW 93RD LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1266
Mailing Address - Country:US
Mailing Address - Phone:786-252-0877
Mailing Address - Fax:
Practice Address - Street 1:7247 SW 88TH ST
Practice Address - Street 2:OPTICAL WORLD - DADELAND MALL
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7845
Practice Address - Country:US
Practice Address - Phone:305-662-7774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-17
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC004268152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist