| NPI | 1780830422 |
|---|---|
| Doing Business As | EYE SITE VISION CENTER INC |
| Entity Type | Organization |
| Authorized Contact | GARY E GOBERVILLE Optometrist Owner 954-344-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC2575) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |