| NPI | 1134156573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD A BARNHORST Ophthalmologist 904-722-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME 78488) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL ME78488) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2018-07-16 |