Individual
IVANA OBRADOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2460 INDIA HOOK RD STE 206, ROCK HILL, SC 29732-3578
(803) 985-2020
(803) 985-2021
Mailing address
3176 S UNIVERSITY DR, MIRAMAR, FL 33025-3002
(954) 431-2020
(954) 435-7124
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2256
SC
152W00000X
Optometrist
Primary
OPC 4521
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003110735A
—
GA
05
—
003809600
—
FL
05
—
D22562
—
SC
Enumeration date
09/14/2010
Last updated
06/21/2022
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