Organization Name: | INTERNATIONAL OCULAR CENTER INC |
NPI Number: | 1003024100 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YASSER T BATAINEH (OWNER) |
Mailing Address: | 4011 W Flagler St 205 Coral Gables |
State: | FL US |
Postal Code: | 331341643 |
Phone Number: | 3056423937 |
Fax Number: | 3056429070 |
NPI Enumeration Date: | 05/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1700X |
License Number: | 92-242-04 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Ocularist |
Taxonomy Definition: |