Acusight PA

Organization Active NPI Optometrist · Lauderdale Lakes, FL

NPI 1831569631 · NPPES record last updated Nov 25, 2017

Key facts

NPI
1831569631
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
Legal business name
ACUSIGHT PA
Practice address
3001 N State Road 7
Lauderdale Lakes, FL 33313-1913
Phone
(954) 733-2066
NPI assigned
Oct 6, 2015
Organization subpart
No

Authorized official

Name
Ingrid Whitbourne-Cooke, OD
Title
President
Phone
(954) 706-2037

National Provider Directory

Locations

4520 W Hallandale Beach Blvd
Ste 8
Pembroke Pines, FL 33023
Phone (305) 469-4596

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP
152W00000X Yes

Addresses

Primary practice location

3001 N State Road 7
Lauderdale Lakes, FL 33313-1913

Mailing address

8252 NW 15TH CT
Coral Springs, FL 33071-6211

Other identifiers

IdentifierTypeStateIssuer
620243800MedicaidFL

Other providers in Lauderdale Lakes, FL

All providers in Lauderdale Lakes, FL · Optometrist in Florida

Sources for this page

Verify at the official NPI Registry.