| NPI | 1235397803 |
|---|---|
| Doing Business As | BEACON CENTER EYE CARE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALLEN GORDON Optometrist/Vice President 305-717-9995 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL OPC2941) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |