| NPI | 1154737211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORVARID FALLAHZADEH Managing Member 954-817-9646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL 4919) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |