| NPI | 1033985692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD FELDMAN Medical Director 800-448-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center Ophthalmologic Surgery |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-12-29 |