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 |