Healthcare Provider Details

I. General information

NPI: 1255970026
Provider Name (Legal Business Name): ONSITE OPTOMETRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2019
Last Update Date: 12/27/2019
Certification Date: 12/27/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1728 NE 27TH DR
WILTON MANORS FL
33334-4357
US

IV. Provider business mailing address

1728 NE 27TH DR
WILTON MANORS FL
33334-4357
US

V. Phone/Fax

Practice location:
  • Phone: 954-663-0287
  • Fax:
Mailing address:
  • Phone: 954-663-0287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. NATHALIE ELIZABETH FINDLATER
Title or Position: OPTOMETRIST
Credential: OD
Phone: 954-663-0287