NPI | 1427283209 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN MARK NEWMAN President 954-599-3285 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC3029) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC3029) |
152WP0200X Optometrist, Pediatrics (Licence: FL OPC3029) | |
Enumeration Date | 2009-05-21 |
Last Update Date | 2013-01-09 |