| NPI | 1558864272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAILESH K GUPTA Owner 561-322-3588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2025-04-23 |