Eye Source LLC

NPI #1780711911 in Boca Raton, Florida

Provider Information

NPI Number: 1780711911
Entity Type: Organization
Organization Name: Eye Source LLC
Primary Specialty: Optometrist
Enumeration Date: Feb 27, 2007
Last Updated: Jan 3, 2013

Practice Location

Address: 21126 SAINT ANDREWS BLVD
City: Boca Raton
State: Florida
ZIP Code: 33433-2404
Phone: (561) 347-7977

Authorized Official

Name: RONALD SNYDER, OD
Title: OWNER PHYSICIAN
Phone: (561) 347-7977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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