Provider Demographics
NPI:1285866145
Name:EL RETORNO OPTICAL DISCOUNT , INC
Entity Type:Organization
Organization Name:EL RETORNO OPTICAL DISCOUNT , INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VPRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LURBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-559-0613
Mailing Address - Street 1:8353 SW 40TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3352
Mailing Address - Country:US
Mailing Address - Phone:305-559-0613
Mailing Address - Fax:305-559-0614
Practice Address - Street 1:8353 SW 40TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3352
Practice Address - Country:US
Practice Address - Phone:305-559-0613
Practice Address - Fax:305-559-0614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDO2997156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty