NPI | 1215054697 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN M ANHALT President 954-473-2853 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC2160) |
Additional Taxonomies | 152WS0006X Optometrist, Sports Vision (Licence: FL OPC2160) |
152WX0102X Optometrist, Occupational Vision (Licence: FL OPC2160) | |
Enumeration Date | 2007-03-23 |
Last Update Date | 2020-08-22 |