Organization Name: | OBERLE OPTICIANS |
NPI Number: | 1306066337 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BERNARD OBERLENDER (OWNER) |
Mailing Address: | 9552 Harding Ave Surfside |
State: | FL US |
Postal Code: | 331542502 |
Phone Number: | 3058611010 |
Fax Number: | 3058619411 |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 05/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 1301 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |