| NPI | 1487583266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD RAZZAQ Manager 954-800-0037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2026-05-18 |
| Last Update Date | 2026-05-18 |