Regency Optical Corp

NPI #1184269433 in Davie, Florida

Provider Information

NPI Number: 1184269433
Entity Type: Organization
Organization Name: Regency Optical Corp
Primary Specialty: Optometrist
Enumeration Date: Nov 11, 2019
Last Updated: Nov 11, 2019

Practice Location

Address: 4975 SW 148TH AVE
City: Davie
State: Florida
ZIP Code: 33330-2419
Phone: (267) 307-2098

Authorized Official

Name: ILYA GINZBURG, OD
Title: PRESIDENT
Phone: (267) 307-2098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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