| NPI | 1376765115 |
|---|---|
| Former Legal Business Name | VIVRA EYE MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | MARTIN BILOWICH President 305-614-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2014-04-14 |