| NPI | 1023018355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE L NEAL President 469-214-0144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC2170) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2024-11-04 |