Basic Information
| Provider Information | |||||||||
| NPI: | 1467686030 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | CAFFA OPTICS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5001 COLLINS AVE APT 1G | ||||||||
| Address2: | |||||||||
| City: | MIAMI BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331402732 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055286361 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2441 DOUGLAS RD | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331453051 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3054420066 | ||||||||
| FaxNumber: | 3054456896 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/11/2009 | ||||||||
| LastUpdateDate: | 05/11/2009 | ||||||||
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| AuthorizedOfficialLastName: | CAFFA | ||||||||
| AuthorizedOfficialFirstName: | OSVALDO | ||||||||
| AuthorizedOfficialMiddleName: | JULIO | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 3055286361 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332H00000X | ME86551 | FL | Y | Suppliers | Eyewear Supplier (Equipment, not the service) |
No ID Information.