# 20-20 VISION PLACE INC

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

## Provider details

- **NPI number:** 1639445703
- **Authorized official:** DR. RALPH BOURJOLLY OD (OWNER)
- **Authorized official phone:** (954) 851-9949

## Contact information

- **Practice address:** 12801 W SUNRISE BLVD, STE 931, SUNRISE, FL 33323-4020
- **Practice address phone:** (954) 851-9949
- **Mailing address:** 135 WESTON RD, APT 248, WESTON, FL 33326-1111
- **Mailing address phone:** (561) 212-5107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC2667 | FL | Yes |

## Other

- **Enumeration date:** 03/22/2012
- **Last updated:** 11/20/2023