Provider Demographics
NPI:1467686030
Name:CAFFA OPTICS LLC
Entity Type:Organization
Organization Name:CAFFA OPTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OSVALDO
Authorized Official - Middle Name:JULIO
Authorized Official - Last Name:CAFFA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-528-6361
Mailing Address - Street 1:5001 COLLINS AVE APT 1G
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2732
Mailing Address - Country:US
Mailing Address - Phone:305-528-6361
Mailing Address - Fax:
Practice Address - Street 1:2441 DOUGLAS RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-3051
Practice Address - Country:US
Practice Address - Phone:305-442-0066
Practice Address - Fax:305-445-6896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME86551332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier