| NPI | 1871263939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK LOBANOFF Medical Director 877-686-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center Ophthalmologic Surgery |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2024-02-02 |