Promenade Eye Care, Llc

NPI 1225457716 - Optometrist - 152W00000X

NPI Details
NPI 1225457716
Enumeration Date 04/11/2014
Last Updated 04/11/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ANISA ANISA
Position OPTOMETRIST
Phone (954) 975-9181
Fax (954) 975-9597
Practice Location
4413 LYONS RD
SUITE 101 DOCTORS OF OPTOMETRY NEXT TO LENSCRAFTERS
COCONUT CREEK FL, 33073-4383, US
Phone (954) 975-9181
Fax (954) 975-9597
Business Location
4413 LYONS RD
SUITE 101 DOCTORS OF OPTOMETRY NEXT TO LENSCRAFTERS
COCONUT CREEK FL, 33073-4383, US
Phone (954) 975-9181
Fax (954) 975-9597
Toxanomy
Taxonomy Code 152W00000X
License State Florida
License Number OPC 4633
Remove 1225457716 NPI Number
 

According to our database, Promenade Eye Care, Llc NPI is 1225457716, taxonomy code is 152W00000X and license number is OPC 4633, license state is located at Florida. Promenade Eye Care, Llc physically located at 4413 Lyons Rd, Coconut Creek FL, 33073-4383. NPI Number 1033115704 has the healthcare provider type.

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1225457716 NPI number is provided on an as is basis without warranty of any kind. 1225457716 is maintained by the National Plan & Provider Enumeration System. The contents of Promenade Eye Care, Llc are for informational purposes only.