NPI | 1023401064 |
---|---|
Doing Business As | BIG BEND FAMILY EYE CARE |
Entity Type | Organization |
Authorized Contact | TIFFANY A MALONE Owner 850-491-0107 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2015-03-16 |
Last Update Date | 2015-03-16 |