Whalio Doctors

NPI 1265665079

Juan a Menjivar OD PA

Organisation Optometrist Winter Park, FL

Practice location

Address
180 S Knowles Ave, Winter Park, FL 32789-7009
Phone
(407) 629-2020
Mailing address
1414 SE 8th St, Ocala, FL 34471-4057

Authorised official

Name
Juan a Menjivar
Title
President
Phone
(281) 630-6052

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence OPC4351 (FL)

Registry record

NPI
1265665079
Entity type
Organization
NPI issued
26 Aug 2009
Record last updated
6 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.