Provider Demographics
NPI:1497153795
Name:ISEE VISION CARE PA
Entity Type:Organization
Organization Name:ISEE VISION CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SONNEBERG
Authorized Official - Suffix:
Authorized Official - Credentials:OD/OWNER
Authorized Official - Phone:561-877-1364
Mailing Address - Street 1:6651 WOOLBRIGHT RD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-0916
Mailing Address - Country:US
Mailing Address - Phone:561-877-1364
Mailing Address - Fax:832-934-1161
Practice Address - Street 1:6651 WOOLBRIGHT RD
Practice Address - Street 2:SUITE 112
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-0916
Practice Address - Country:US
Practice Address - Phone:561-877-1364
Practice Address - Fax:832-934-1161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-18
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty