| NPI | 1568649275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN T VAN Optometrist Sole Proprietor 954-437-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC3746) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-02-25 |