NPI | 1639676281 |
---|---|
Doing Business As | ADVANCED VISION |
Entity Type | Organization |
Authorized Contact | MICHAEL ALEXANDER GOMEZ Vice President 954-471-6453 |
Organization Subpart ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC3891) |
Enumeration Date | 2018-04-10 |
Last Update Date | 2019-12-30 |