| NPI | 1023275468 |
|---|---|
| Doing Business As | SOUTH TAMPA EYE SITE |
| Entity Type | Organization |
| Authorized Contact | KEVIN L. SMITH President 813-207-8984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Additional Taxonomies | 152W00000X Optometrist |
| 152WL0500X Optometrist, Low Vision Rehabilitation | |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |