DALUZ OPTICAL AND SUPPLIES INC NPI 1679627772

NPI Information

NPI: 1679627772
Provider Name: DALUZ OPTICAL AND SUPPLIES INC
Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
4528 W 12TH AVE
HIALEAH, FL
ZIP 33012
Phone: (305) 557-6777
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DALUZ OPTICAL AND SUPPLIES INC is an optician technician technologist in Hialeah, FL. DALUZ OPTICAL AND SUPPLIES INC NPI is 1679627772. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4528 W 12TH AVE
HIALEAH, FL
ZIP 33012-325
Phone: (305) 557-6777

The provider's authorized official is Reinaldo Huertas .
The authorized official title is President and has the following contact phone number (305) 557-6777.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 10/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152WX0102X	Optometrist	Occupational Vision	471891-3	FLORIDA	No
2	156FX1800X	Technician/Technologist	Optician	OE 1493	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	FLORIDA	ELLIED EYECARE
2	630227100	MEDICAID	FLORIDA
3	4144120001	MEDICARE NSC	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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