| NPI | 1194065458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK RIVENSON President 561-758-1254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC3762) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC3635) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |