| NPI | 1972885457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY BERMAN Optometrist 954-704-4345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL OPC2870) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2012-01-12 |