| NPI | 1598244907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SMITH BLANC President 786-897-9472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4425) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC4397) |
| 152WC0802X Optometrist Corneal and Contact Management (Licence: FL OPC4425) | |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |