| NPI | 1881847242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP R SIDRAN President Owner Optometrist 305-252-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL OPC 804) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-11-04 |