Provider Demographics
NPI:1184894339
Name:ALEXANDER'S OPTICAL INC
Entity type:Organization
Organization Name:ALEXANDER'S OPTICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:PLANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-556-3398
Mailing Address - Street 1:7160 W 20TH AVE
Mailing Address - Street 2:SUITE# M-135
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5530
Mailing Address - Country:US
Mailing Address - Phone:305-556-3398
Mailing Address - Fax:305-556-3626
Practice Address - Street 1:7160 W 20TH AVE
Practice Address - Street 2:SUITE# M-135
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5530
Practice Address - Country:US
Practice Address - Phone:305-556-3398
Practice Address - Fax:305-556-3626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDO1757332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0657890001Medicare PIN