Provider Demographics
NPI:1578912622
Name:KESSELMAN EYE CARE, INC.
Entity Type:Organization
Organization Name:KESSELMAN EYE CARE, INC.
Other - Org Name:RIVIERA VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ADI
Authorized Official - Last Name:KESSELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:305-998-9950
Mailing Address - Street 1:18090 COLLINS AVE
Mailing Address - Street 2:SUITE T-13
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-1917
Mailing Address - Country:US
Mailing Address - Phone:305-998-9950
Mailing Address - Fax:305-998-9955
Practice Address - Street 1:18090 COLLINS AVE
Practice Address - Street 2:SUITE T-13
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-1917
Practice Address - Country:US
Practice Address - Phone:305-998-9950
Practice Address - Fax:305-998-9955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4993152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty