| NPI | 1306367461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MERVYN BROWN President/O PT Ometrist 954-304-7850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL 004116) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |