Organization
INNOVATIVE VISION & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DON BRYAN O.D.P.A. (OPTOMETRIST)
(305) 652-5277
Entity
Organization
Contact information
Practice address
20354 NW 2ND AVE, MIAMI, FL 33169-2503
(305) 652-5277
(305) 652-8330
Mailing address
20354 NW 2ND AVE, MIAMI, FL 33169-2503
(305) 652-5277
(305) 652-8330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2907
FL
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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