Provider Demographics
NPI:1164537361
Name:OCUVISION EYECARE CENTER INC
Entity Type:Organization
Organization Name:OCUVISION EYECARE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GUILLERMO
Authorized Official - Middle Name:
Authorized Official - Last Name:ARENCIBIA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:305-382-2424
Mailing Address - Street 1:13818 SW 56TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6061
Mailing Address - Country:US
Mailing Address - Phone:305-382-2424
Mailing Address - Fax:305-382-2428
Practice Address - Street 1:13818 SW 56TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6061
Practice Address - Country:US
Practice Address - Phone:305-382-2424
Practice Address - Fax:305-382-2428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL50887OtherDAVIS VISION
FL2157OtherSUPERIOR VISION SERVICE
FLOE26777OtherSPECTERA
FLFL3686OtherEYEMED
FLOE26777OtherSPECTERA
FL=========OtherVISION SERVICE PLAN
FLFL3686OtherEYEMED