| NPI | 1104295484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL H SPEAR Owner 850-438-1277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |