Provider Demographics
NPI:1649949728
Name:OPTIX EYE CARE LLC
Entity type:Organization
Organization Name:OPTIX EYE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FARAH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:813-402-2743
Mailing Address - Street 1:11422 US HIGHWAY 301 S
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-6170
Mailing Address - Country:US
Mailing Address - Phone:813-402-2743
Mailing Address - Fax:
Practice Address - Street 1:11422 U.S. HIGHWAY 301 S
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-3357
Practice Address - Country:US
Practice Address - Phone:813-402-2743
Practice Address - Fax:813-402-2944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-10
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty