| NPI | 1083859409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN G BROOKS President 239-896-0046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC 3782) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2019-10-16 |