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 |