| NPI | 1962734137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J VENOKUR O PT Ometrist Sole Proprietor 305-757-1759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC1341) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-08-25 |