| Organization Name: | FOR EYES OPTICAL OF COCONUT GROVE |
| NPI Number: | 1306996491 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHILIP WOLMAN (OWNER) |
| Mailing Address: | 3122 E Colonial Dr Suite B Orlando |
| State: | FL US |
| Postal Code: | 328035175 |
| Phone Number: | 4078962535 |
| Fax Number: | |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 10/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 07/10/2013 |
| NPI Reactivation Date: | 09/11/2013 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | DO 5154 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |