Provider Demographics
NPI:1790293397
Name:BISCAYNE OPTICAL LLC
Entity Type:Organization
Organization Name:BISCAYNE OPTICAL LLC
Other - Org Name:BISCAYNE OPTICAL
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLIMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPINOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-754-1800
Mailing Address - Street 1:7901 BISCAYNE BLVD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33138-4618
Mailing Address - Country:US
Mailing Address - Phone:305-754-1899
Mailing Address - Fax:305-754-3694
Practice Address - Street 1:7901 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33138-4618
Practice Address - Country:US
Practice Address - Phone:305-754-1899
Practice Address - Fax:305-754-3694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-17
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier