| NPI | 1518990159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ELIOT ROGERS President 954-234-4239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC3049) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Licence: FL OPC3049) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |