| NPI | 1013981786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY PAPPAS Authorized Official 407-834-7776 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2020-12-21 |