| NPI | 1144729120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DONALD FLIEHS Owner 561-996-5804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2019-01-09 |