| NPI | 1215428073 |
|---|---|
| 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 | 2018-05-28 |
| Last Update Date | 2018-05-28 |