| NPI | 1285938415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK E GOLDBERG President O PT Ometrist 954-752-9570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC1084) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |