Provider Demographics
NPI:1669606323
Name:TAMIAMI EYES INC
Entity type:Organization
Organization Name:TAMIAMI EYES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-391-5470
Mailing Address - Street 1:125 NW 13TH ST
Mailing Address - Street 2:STE B-8
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-1644
Mailing Address - Country:US
Mailing Address - Phone:561-391-5470
Mailing Address - Fax:561-391-5471
Practice Address - Street 1:125 NW 13TH ST
Practice Address - Street 2:STE B-8
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-1644
Practice Address - Country:US
Practice Address - Phone:561-391-5470
Practice Address - Fax:561-391-5471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-11
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1313637332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherEIN
FL=========OtherEIN