Provider Demographics
NPI:1447696307
Name:BEAUTIFUL VISION PLLC
Entity type:Organization
Organization Name:BEAUTIFUL VISION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCESANN
Authorized Official - Middle Name:
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:FRANCESANN FORD
Authorized Official - Phone:954-674-2255
Mailing Address - Street 1:3 SW 129TH AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-1775
Mailing Address - Country:US
Mailing Address - Phone:954-674-2255
Mailing Address - Fax:954-889-5346
Practice Address - Street 1:3 SW 129TH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-1775
Practice Address - Country:US
Practice Address - Phone:954-674-2255
Practice Address - Fax:954-889-5346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-20
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME106007261QS0132X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1790837011OtherOPHTHALMOLOGY OCULOPLASTIC SURGERY