Organization
OPTOMETRY HOLDINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOEL ANDREW HENRY OD (PRESIDENT)
(954) 288-3032
Entity
Organization
Contact information
Practice address
5200 N FEDERAL HWY, STUITE 4, FT LAUDERDALE, FL 33308-3253
(954) 491-6663
(954) 491-6667
Mailing address
13506 SUMMERPORT VILLAGE PKWY, #254, WINDERMERE, FL 34786-7366
(954) 288-3032
(954) 491-6697
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3970
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U65034
MEDICARE PTAN
FL
Enumeration date
11/15/2012
Last updated
11/15/2012
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