Organization
FAMILY VISION ASSOCIATES, P.A.
Active
Other names
Michael B Haugen O.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL B HAUGEN O.D. (PRESIDENT)
(561) 627-1114
Entity
Organization
Contact information
Practice address
11380 PROSPERITY FARMS RD, SUITE 119, PALM BEACH GARDENS, FL 33410-3464
(561) 627-1114
(561) 627-2304
Mailing address
11380 PROSPERITY FARMS RD, SUITE 119, PALM BEACH GARDENS, FL 33410-3464
(561) 627-1114
(561) 627-2304
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC002181
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078980100
—
FL
01
—
19389
BLUE CROSS & BLUE SHIELD OF FLORIDA
FL
Enumeration date
05/29/2008
Last updated
05/29/2008
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