# IMPERIAL VISION CENTER, INC

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

## Provider details

- **NPI number:** 1861859571
- **Authorized official:** DR. RAQUEL MONCRIEFFE OD (OPOMETRIST/ OWNER)
- **Authorized official phone:** (561) 451-0524

## Contact information

- **Practice address:** 19605 STATE ROAD 7 STE D, BOCA RATON, FL 33498-4767
- **Practice address phone:** (561) 451-0524
- **Practice address fax:** (561) 451-0788
- **Mailing address:** 19605 STATE ROAD 7 STE D, BOCA RATON, FL 33498-4767
- **Mailing address phone:** (561) 451-0524
- **Mailing address fax:** (561) 451-0788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 3494 | FL | Yes |

## Other

- **Enumeration date:** 01/26/2016
- **Last updated:** 02/11/2017
