Organization
IMPERIAL VISION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAQUEL MONCRIEFFE OD (OPOMETRIST/ OWNER)
(561) 451-0524
Entity
Organization
Contact information
Practice address
19605 STATE ROAD 7 STE D, BOCA RATON, FL 33498-4767
(561) 451-0524
(561) 451-0788
Mailing address
19605 STATE ROAD 7 STE D, BOCA RATON, FL 33498-4767
(561) 451-0524
(561) 451-0788
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3494
FL
Other
Enumeration date
01/26/2016
Last updated
02/11/2017
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