Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ADRESSANT ADRAS
ActiveOptician, Dispensing · PEMBROKE PARK, FL
Registration Details
- NPI Number
- 1871009720
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 14, 2017 (8.3507697942431 yrs)
- Last Updated
- Dec 14, 2017
- License
-
5161 (FL)
Practice Information
- Address
-
4520 W HALLANDALE BEACH BLVD STE 8PEMBROKE PARK, FL, 330234344Browse FL providers · Browse ZIP 33023
- Phone
- 3054694596
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.