NPI | 1942529714 |
---|---|
Doing Business As | FIDLER EYECARE |
Entity Type | Organization |
Authorized Contact | CRAIG ALLEN FIDLER President 954-467-3777 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC1638) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Licence: FL OPC1638) |
Enumeration Date | 2010-05-19 |
Last Update Date | 2012-04-11 |