Provider Demographics
NPI:1255468310
Name:EYE EXAMS UNLIMITED PL
Entity Type:Organization
Organization Name:EYE EXAMS UNLIMITED PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STACI
Authorized Official - Middle Name:WYNN
Authorized Official - Last Name:AUERBACH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:954-540-2558
Mailing Address - Street 1:2750 W 68TH ST
Mailing Address - Street 2:SUITE 115
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5446
Mailing Address - Country:US
Mailing Address - Phone:305-819-3937
Mailing Address - Fax:305-819-0816
Practice Address - Street 1:2750 W 68TH ST
Practice Address - Street 2:SUITE 115
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5446
Practice Address - Country:US
Practice Address - Phone:305-819-3937
Practice Address - Fax:305-819-0816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2012-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 3867152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty