| NPI | 1063670636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GORDON Optometrist/President 305-558-8630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL opc2941) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2013-01-29 |