NPI | 1336698315 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN E WIGDOR Optometrist 305-931-0225 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC1791) |
Enumeration Date | 2016-10-01 |
Last Update Date | 2018-06-20 |