Buena Vista Eyeland INC

NPI #1205829033 in Sebastian, Florida

Provider Information

NPI Number: 1205829033
Entity Type: Organization
Organization Name: Buena Vista Eyeland INC
Primary Specialty: Optometrist
Enumeration Date: Aug 26, 2005
Last Updated: Feb 13, 2008

Practice Location

Address: 1619 US HIGHWAY 1
City: Sebastian
State: Florida
ZIP Code: 32958-3834
Phone: (772) 388-9330

Authorized Official

Name: DR. CARLO DANIEL FODOR, OD
Title: PRESIDENT
Phone: (772) 388-9330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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