| NPI | 1548931595 |
|---|---|
| Doing Business As | MY EYELAB |
| Entity Type | Organization |
| Authorized Contact | JACKIE BENNETT Credentialing Manager 561-612-4531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2022-01-19 |