NPI | 1124200894 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY WAYNE CHIN O PT Ometrist/President 305-551-6200 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 3437) |
Enumeration Date | 2007-12-04 |
Last Update Date | 2008-09-23 |