NPI | 1073883260 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT E LUCKEY Doctor/Owner 813-866-4004 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC3815) |
Enumeration Date | 2012-01-05 |
Last Update Date | 2012-01-05 |