Organization
20-20 VISION PLACE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH BOURJOLLY OD (OWNER)
(954) 851-9949
Entity
Organization
Contact information
Practice address
12801 W SUNRISE BLVD, STE 931, SUNRISE, FL 33323-4020
(954) 851-9949
Mailing address
135 WESTON RD, APT 248, WESTON, FL 33326-1111
(561) 212-5107
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2667
FL
Other
Enumeration date
03/22/2012
Last updated
11/20/2023
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