| NPI | 1518185560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIBEL RAMIREZ Certified Ophthalmic Technician 954-384-4892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 70392) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL 70392) |
| 347C00000X Private Vehicle (Licence: FL 70392) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |