Healthcare Provider Details

I. General information

NPI: 1740119650
Provider Name (Legal Business Name): PEDIATRIC AND FAMILY VISION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 NW 9TH CT STE 203A
BOCA RATON FL
33486-2268
US

IV. Provider business mailing address

1000 NW 9TH CT STE 203A
BOCA RATON FL
33486-2268
US

V. Phone/Fax

Practice location:
  • Phone: 561-462-1245
  • Fax: 561-462-1245
Mailing address:
  • Phone: 561-462-1245
  • Fax: 561-462-1245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA MURRAY
Title or Position: OWNER
Credential: OD
Phone: 614-316-0753