Provider Demographics
NPI:1518185560
Name:VISION CARE MOBILE SERVICES LLC
Entity Type:Organization
Organization Name:VISION CARE MOBILE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED OPHTHALMIC TECHNICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:COT
Authorized Official - Phone:954-384-4892
Mailing Address - Street 1:16400 DIAMOND HEAD DR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3105
Mailing Address - Country:US
Mailing Address - Phone:954-732-4875
Mailing Address - Fax:
Practice Address - Street 1:10773 NW 58TH ST # 130
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-2801
Practice Address - Country:US
Practice Address - Phone:954-732-4875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL70392261Q00000X, 332H00000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Not Answered332H00000XSuppliersEyewear Supplier
Not Answered347C00000XTransportation ServicesPrivate Vehicle