Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELISSAGE JEAN-BAPTISTE, LICENSED OPTICIAN
Active Sole ProprietorELISSAGE JEAN-BAPTISTE, LICENSED OPTICIAN is a Occupational Vision Optometrist healthcare provider located in SUNRISE, Florida. NPI 1922865823 is currently active in the NPPES registry. Verify at CMS.
Occupational Vision Optometrist · SUNRISE, FL
Registration Details
- NPI Number
- 1922865823
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 6, 2024 (2.4606378583597 yrs)
- Last Updated
- Mar 6, 2024
- License
-
5135 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12555 W SUNRISE BLVDSUNRISE, FL, 333230900Browse FL providers · Browse ZIP 33323
- Phone
- 9548450647
- Fax
- 9548450289
- Primary Specialty
-
Occupational Vision Optometrist
152WX0102X
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.