OrganizationActive
For Eyes Optical of PA
NPI 1861966848 · Optometrist · Broadview, IL
Provider details
- NPI number
- 1861966848
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jose Costa, Ceo(305) 557-9004
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
122 Broadview Village Sq
Broadview, IL 60155-4874
Phone: (708) 343-2020
Approximate (ZIP-level) locationGet directions
Mailing address
3601 Sw 160th Ave Ste 400
Miramar, FL 33027-6312
Registry dates
- Enumerated
- 2019-01-14
- Last updated
- 2019-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.