| NPI | 1760786602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD JOSEPH BALSKI President 954-816-1371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 4263) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 4294) |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2013-11-18 |