Provider Demographics
NPI:1114705951
Name:UC EYE CARE, LLC
Entity Type:Organization
Organization Name:UC EYE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GIANNIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CASTELLANOS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:786-318-7600
Mailing Address - Street 1:8060 NW 155TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5883
Mailing Address - Country:US
Mailing Address - Phone:305-364-3737
Mailing Address - Fax:
Practice Address - Street 1:3179 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-4533
Practice Address - Country:US
Practice Address - Phone:305-364-3737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-21
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty