# INNOVATIVE VISION & WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215287958
- **Authorized official:** DR. DON BRYAN O.D.P.A. (OPTOMETRIST)
- **Authorized official phone:** (305) 652-5277

## Contact information

- **Practice address:** 20354 NW 2ND AVE, MIAMI, FL 33169-2503
- **Practice address phone:** (305) 652-5277
- **Practice address fax:** (305) 652-8330
- **Mailing address:** 20354 NW 2ND AVE, MIAMI, FL 33169-2503
- **Mailing address phone:** (305) 652-5277
- **Mailing address fax:** (305) 652-8330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC2907 | FL | Yes |

## Other

- **Enumeration date:** 09/10/2012
- **Last updated:** 09/10/2012