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 |