Organization
DAVIE BLVD. VISION CENTER
Active
Parent organization
STEPHEN ROTHSTEIN, OD
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEPHEN ROTHSTEIN, OD
Authorized official
SHARON CLIFTON (INSURANCE ADMINISTRATION)
(850) 339-5794
Entity
Organization
Contact information
Practice address
3252 DAVIE BLVD, FT LAUDERDALE, FL 33312-2766
(954) 587-2020
(954) 587-6563
Mailing address
3252 DAVIE BLVD, FT LAUDERDALE, FL 33312-2766
(954) 587-2020
(954) 587-6563
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1180
FL
152WC0802X
Corneal and Contact Management Optometrist
OPC1180
FL
152WP0200X
Pediatric Optometrist
OPC1180
FL
156FX1800X
Optician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621119401
—
FL
Enumeration date
12/30/2008
Last updated
12/30/2008
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