| Doctor Name: | DR. MICHAEL E RAIM |
| NPI Number: | 1205864402 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | O.D. |
| License Number: | OPC 000111 |
| Business Practice Address: | 501 Harbor Blvd Suite D Destin, FL - 325412348 |
| Business Phone Number: | 8508379161 |
| Business Fax Number: | 8508379162 |
| Mailing Address: | 501 Harbor Blvd, Suite D DESTIN |
| State: | FL |
| Postal Code: | 325412348 |
| Phone Number: | 8508379161 |
| Fax Number: | 8508379162 |
| NPI Enumeration Date: | 06/28/2006 |
| NPI Last Update Date: | 03/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WP0200X |
| License Number: | OPC 000111 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |