Provider Demographics
NPI:1346789930
Name:NAOMI J AGUILERA, OD LLC
Entity Type:Organization
Organization Name:NAOMI J AGUILERA, OD LLC
Other - Org Name:SPECTRUM VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:J
Authorized Official - Last Name:AGUILERA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:321-777-1800
Mailing Address - Street 1:2000 S PATRICK DR
Mailing Address - Street 2:
Mailing Address - City:INDIAN HARBOUR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-4462
Mailing Address - Country:US
Mailing Address - Phone:321-777-1800
Mailing Address - Fax:321-777-7504
Practice Address - Street 1:2000 S PATRICK DR
Practice Address - Street 2:
Practice Address - City:INDIAN HARBOUR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-4462
Practice Address - Country:US
Practice Address - Phone:321-777-1800
Practice Address - Fax:321-777-7504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-16
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty