Advanced Vision Care of Jupiter Inc
Organization Active NPI Optometrist · Jupiter, FL
NPI 1427384239 · NPPES record last updated Jul 24, 2019
Key facts
- NPI
- 1427384239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- FL2861 (ZZ)
- Legal business name
- ADVANCED VISION CARE OF JUPITER INC
- Practice address
- 3893 Military TRL Ste 4
Jupiter, FL 33458-2936 - Phone
- (561) 429-8753
- Fax
- (561) 630-7066
- NPI assigned
- Oct 29, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Amir Cukierman, OD
- Title
- P
- Phone
- (954) 850-1454
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Advanced Vision Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | FL2861 | ZZ | Yes |
Addresses
Primary practice location
3893 Military TRL Ste 4
Jupiter, FL 33458-2936
Mailing address
1200 Town Center Dr
Jupiter, FL 33458-5256
Phone (561) 429-8753
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620607700 | Medicaid | FL |
Other names
- Advanced Vision Care of Jupiter
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.