Provider Demographics
NPI:1790239879
Name:LLOPTIKMASTERS,INC
Entity Type:Organization
Organization Name:LLOPTIKMASTERS,INC
Other - Org Name:LELOOK OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HUBERT
Authorized Official - Middle Name:T
Authorized Official - Last Name:KEBREAU
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:954-764-2330
Mailing Address - Street 1:1024 NW 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33311-6137
Mailing Address - Country:US
Mailing Address - Phone:954-764-2330
Mailing Address - Fax:954-969-6788
Practice Address - Street 1:1024 NW 10TH AVE
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33311-6137
Practice Address - Country:US
Practice Address - Phone:954-764-2330
Practice Address - Fax:954-969-6788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-07
Last Update Date:2016-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDO3348332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier