| NPI | 1568905701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LEVIN Optometrist 305-835-7588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4645) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME46223) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2018-03-17 |