| NPI | 1871917419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON M. GORDON President 561-747-7460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC3801) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC3801) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |