| NPI | 1700941002 | 
|---|---|
| Doing Business As | NORTH RIDGE EYE CENTER | 
| Entity Type | Organization | 
| Authorized Contact | ILEY C NEELY President 954-771-4271 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME57956) | 
| Enumeration Date | 2006-12-27 | 
| Last Update Date | 2009-09-30 |