| NPI | 1013314681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LUANNE HILL President 407-862-7234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 4612) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC 4612) |
| 152WP0200X Optometrist, Pediatrics (Licence: FL OPC 4612) | |
| 152WS0006X Optometrist, Sports Vision (Licence: FL OPC 4612) | |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |