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1162 Military Trail LLC — NPI 1629489406, Miami, FL | NPI Central

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NPI 1629489406

OrganizationActive

1162 Military Trail LLC

NPI 1629489406 · Optometrist · Miami, FL

Provider details

NPI number: 1629489406
Entity type: Organization
Primary specialty: OptometristEye and Vision Services Providers
Organization subpart: No
Authorized official: Galen Grayson, Medical Director/Owner(877) 881-0022

Specialties & taxonomies

OptometristPrimary152W00000X
Eye and Vision Services Providers

Practice location

1661 Sw 37th Ave

Ste. 102

Miami, FL 33145-1754

Phone: (305) 461-2400

Fax: (305) 461-2902

Approximate (ZIP-level) locationGet directions

More FL providers

Mailing address

1661 Sw 37th Ave

Miami, FL 33145-1754

Other names (DBA / former)

Doing business as: Laser Eye Center of Miami

Registry dates

Enumerated: 2014-05-14
Last updated: 2014-05-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.