| NPI | 1023178852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD MILLS Owner 727-343-1521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: FL 2489) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |