Blinking Owl Eyecare LLC

NPI #1629546007 in Davie, Florida

Provider Information

NPI Number: 1629546007
Entity Type: Organization
Organization Name: Blinking Owl Eyecare LLC
Primary Specialty: Optometrist
Enumeration Date: Nov 5, 2018
Last Updated: Nov 5, 2018

Practice Location

Address: 5800 S UNIVERSITY DR
City: Davie
State: Florida
ZIP Code: 33328-6102
Phone: (954) 252-2583

Authorized Official

Name: FATEN EDRISKHALAF, OD
Title: OWNER
Phone: (786) 452-6690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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