Provider Demographics
NPI:1679882435
Name:ALAFAYA VISION CENTER, LLC
Entity type:Organization
Organization Name:ALAFAYA VISION CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NAILA
Authorized Official - Middle Name:
Authorized Official - Last Name:VIRANI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:407-382-2648
Mailing Address - Street 1:891 N ALAFAYA TRL
Mailing Address - Street 2:#G05
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7049
Mailing Address - Country:US
Mailing Address - Phone:407-382-2648
Mailing Address - Fax:407-382-8785
Practice Address - Street 1:891 N ALAFAYA TRL
Practice Address - Street 2:#G05
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-7049
Practice Address - Country:US
Practice Address - Phone:407-382-2648
Practice Address - Fax:407-382-8785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4492152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty