| NPI | 1134135585 |
|---|---|
| Doing Business As | EYES ETC OPTICAL |
| Entity Type | Organization |
| Authorized Contact | JEANNINE M FOWLER Owner 239-337-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL opc3888) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2010-07-20 |