| NPI | 1174022842 | 
|---|---|
| Doing Business As | MY EYE LAB | 
| Entity Type | Organization | 
| Authorized Contact | JACKIE BENNETT Credentialing Specialist 561-433-6009 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 152W00000X Optometrist | 
| Enumeration Date | 2018-02-07 | 
| Last Update Date | 2018-02-07 |