NPI | 1265631022 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLA PARIS TEICH O PT Ometrist Sole Proprietor 954-445-7764 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC1744) |
Enumeration Date | 2007-07-12 |
Last Update Date | 2012-12-01 |