Provider Demographics
NPI:1861664252
Name:MINAPA OPTICAL INC
Entity Type:Organization
Organization Name:MINAPA OPTICAL INC
Other - Org Name:STERLING OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-204-2520
Mailing Address - Street 1:860-1 S STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414
Mailing Address - Country:US
Mailing Address - Phone:561-204-2520
Mailing Address - Fax:561-204-2524
Practice Address - Street 1:860 S STATE ROAD 7 # 1
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-6266
Practice Address - Country:US
Practice Address - Phone:561-204-2520
Practice Address - Fax:561-204-2524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-26
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty