Organization
BHAKTA OPTOMETRIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HETEL BHAKTA O.D. (OPTOMETRIST)
(978) 457-0557
Entity
Organization
Contact information
Practice address
8755 HYPOLUXO RD STE 2, LAKE WORTH, FL 33467-5316
(978) 457-0557
Mailing address
8755 HYPOLUXO RD STE 2, LAKE WORTH, FL 33467-5316
(978) 457-0557
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4297
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001645200
—
FL
01
—
BV5192
MEDICARE PTAN
FL
Enumeration date
09/23/2010
Last updated
03/18/2022
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