Organization
MIRVISION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DEAN CHESEN O.D. (OWNER)
(954) 437-9733
Entity
Organization
Contact information
Practice address
2909 SW 160TH AVE, MIRAMAR, FL 33027-4212
(954) 437-9733
(954) 432-6116
Mailing address
2909 SW 160TH AVE, MIRAMAR, FL 33027-4212
(954) 437-9733
(954) 432-6116
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2746
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620031100
—
FL
Enumeration date
09/22/2006
Last updated
02/23/2018
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