Provider Demographics
NPI:1043328743
Name:VISUAL HEALTH @ FT. LAUDERDALE, INC
Entity type:Organization
Organization Name:VISUAL HEALTH @ FT. LAUDERDALE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-442-2020
Mailing Address - Street 1:1097 S. LE JEUNE ROAD
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2616
Mailing Address - Country:US
Mailing Address - Phone:305-442-2020
Mailing Address - Fax:305-442-7354
Practice Address - Street 1:2540 NE 9 ST
Practice Address - Street 2:
Practice Address - City:FT. LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-3525
Practice Address - Country:US
Practice Address - Phone:305-442-2020
Practice Address - Fax:305-442-7354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001838000Medicaid
FL24064Medicare PIN