Provider Demographics
NPI:1366508749
Name:TRU SIGHT OPTICAL
Entity Type:Organization
Organization Name:TRU SIGHT OPTICAL
Other - Org Name:VISION UNLIMITED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DIEGO
Authorized Official - Middle Name:A
Authorized Official - Last Name:BECERRA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-227-2770
Mailing Address - Street 1:5976 CORAL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-3302
Mailing Address - Country:US
Mailing Address - Phone:954-227-2770
Mailing Address - Fax:954-227-7488
Practice Address - Street 1:5976 CORAL RIDGE DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33076-3302
Practice Address - Country:US
Practice Address - Phone:954-227-2770
Practice Address - Fax:954-227-7488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFL4565332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier