NPI | 1164740114 |
---|---|
Doing Business As | ADVANCED VISION |
Entity Type | Organization |
Authorized Contact | MICHAEL A GOMEZ Vice President 954-471-6453 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2010-05-13 |
Last Update Date | 2019-12-30 |