Provider Demographics
NPI:1740917665
Name:SURE VISION CENTERS OF FLORIDA
Entity type:Organization
Organization Name:SURE VISION CENTERS OF FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMEUS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:813-355-9543
Mailing Address - Street 1:11058 GRANDE PINES CIR APT 823
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32821-9333
Mailing Address - Country:US
Mailing Address - Phone:813-355-9543
Mailing Address - Fax:
Practice Address - Street 1:11830 GLASS HOUSE LANE
Practice Address - Street 2:SUITE 120
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32836
Practice Address - Country:US
Practice Address - Phone:813-355-9543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-02
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty