| NPI | 1760508212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN M ANHALT President 954-680-9334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: FL OPC2160) |
| Additional Taxonomies | 152WS0006X Optometrist Sports Vision (Licence: FL OPC2160) |
| 152WX0102X Optometrist Occupational Vision (Licence: FL OPC2160) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2012-02-22 |