| NPI | 1003970070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SCOTT KEELER Managing Employee/CEO 850-584-2778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2008-08-07 |