Provider Demographics
NPI:1790371359
Name:HARLYNE KNIGHT-HANTMAN
Entity type:Organization
Organization Name:HARLYNE KNIGHT-HANTMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HARLYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:KNIGHT-HANTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:954-695-4053
Mailing Address - Street 1:17940 S MILITARY TRL STE 400
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-2411
Mailing Address - Country:US
Mailing Address - Phone:561-912-7252
Mailing Address - Fax:561-912-0802
Practice Address - Street 1:17940 S MILITARY TRL STE 400
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-2411
Practice Address - Country:US
Practice Address - Phone:561-912-7252
Practice Address - Fax:561-912-0802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty