Organization
EYE-SITE OF BOYNTON BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MILES THOMAS L.D.O (OWNER)
(561) 738-0111
Entity
Organization
Contact information
Practice address
6641 W BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33437-3527
(561) 738-0111
(561) 735-9359
Mailing address
6641 W BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33437
(561) 738-0111
(561) 735-9359
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
5095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5095
FLORIDA OPTICIANS
FL
Enumeration date
11/24/2015
Last updated
11/24/2015
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