| NPI | 1184788283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD ERIC PRENTIS FRENKEL Owner 772-287-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2018-09-12 |