| Organization Name: | DR. MICHAEL E. RAIM OD P.A. INC |
| NPI Number: | 1245500677 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL E. RAIM (PRESIDENT) |
| Mailing Address: | 501 Harbor Blvd Suite D Destin |
| State: | FL US |
| Postal Code: | 325412348 |
| Phone Number: | 8508379161 |
| Fax Number: | 8508379162 |
| NPI Enumeration Date: | 01/02/2012 |
| NPI Last Update Date: | 04/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | OC0001111 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |