NPI | 1013199702 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD R LORING O PT Ometrist Owner 305-534-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2007-12-04 |
Last Update Date | 2007-12-04 |