| NPI | 1053548313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH JOHN TESINSKY President/Optometrist 407-567-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL opc3836) |
| Enumeration Date | 2009-06-14 |
| Last Update Date | 2010-05-10 |