NPI | 1144287319 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY SINCLAIR Owner O PT Ometrist 941-752-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OP02661) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OP02661) |
152WP0200X Optometrist, Pediatrics (Licence: FL OP02661) | |
Enumeration Date | 2006-04-29 |
Last Update Date | 2023-04-14 |