NPI | 1164156600 |
---|---|
Doing Business As | PREMIUM EYE CARE |
Entity Type | Organization |
Authorized Contact | JERIN K JOSEPH President/Optometrist 954-309-8647 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2022-07-11 |
Last Update Date | 2022-07-11 |