NPI | 1043497209 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES WILLIAM ANDREWS Owner 850-453-4373 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC1391) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL OPC1391) |
Enumeration Date | 2008-01-29 |
Last Update Date | 2020-08-27 |