Provider Demographics
NPI:1922262831
Name:DR ESPINOZA & ASSOCIATES PA
Entity Type:Organization
Organization Name:DR ESPINOZA & ASSOCIATES PA
Other - Org Name:DORAL EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPINOZA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:305-406-3040
Mailing Address - Street 1:10445 NW 41ST ST
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-1807
Mailing Address - Country:US
Mailing Address - Phone:305-406-3040
Mailing Address - Fax:305-406-9454
Practice Address - Street 1:10445 NW 41ST ST
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-1807
Practice Address - Country:US
Practice Address - Phone:305-406-3040
Practice Address - Fax:305-406-9454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty