| NPI | 1962799684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SMITH BLANC Owner/Optometrist 786-897-9472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4425) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC4425) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |