| NPI | 1114195559 |
|---|---|
| Other Name | IMAGE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | LUCINDA ANDERSON Billing Manager 941-828-3641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 4992) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-05-19 |