| NPI | 1043249170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA DEE WERNER Optometrist/Owner 941-923-4594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC2929) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2009-09-21 |