Provider Demographics
NPI:1760993661
Name:LIZETH DELGADO
Entity Type:Organization
Organization Name:LIZETH DELGADO
Other - Org Name:WE CARE EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:LIZETH
Authorized Official - Middle Name:R
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:786-200-6722
Mailing Address - Street 1:250 KAWAIHAE ST APT 7A
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1900
Mailing Address - Country:US
Mailing Address - Phone:786-200-6722
Mailing Address - Fax:
Practice Address - Street 1:2101 S PARROTT AVE
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34974-6160
Practice Address - Country:US
Practice Address - Phone:863-467-3897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-18
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC5267152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty