| NPI | 1093850836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP WOLMAN Owner 305-557-9004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4623) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 3022) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2013-09-03 |