| 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 (Licence: FL OPC1391) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2020-08-27 |