# 20/20 CLUB

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

## Provider details

- **NPI number:** 1790922813
- **Authorized official:** DR. MICHAEL JOE NODLAND O.D. (MANAGER)
- **Authorized official phone:** (561) 784-2778

## Contact information

- **Practice address:** 10155 OKEECHOBEE BLVD, OPTICAL, ROYAL PALM BEACH, FL 33411-1404
- **Practice address phone:** (516) 784-2778
- **Practice address fax:** (561) 798-9409
- **Mailing address:** 10155 OKEECHOBEE BLVD, OPTICAL, ROYAL PALM BEACH, FL 33411-1404
- **Mailing address phone:** (516) 784-2778
- **Mailing address fax:** (561) 798-9409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 4365 | FL | Yes |

## Other

- **Enumeration date:** 01/12/2009
- **Last updated:** 01/12/2009