| NPI | 1083062798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA-KAY ALICIA TENN Optometrist/Owner 954-805-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4179) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2024-02-21 |