| NPI | 1144466848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON CLIFTON Insurance Administration 850-339-5794 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC1180) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC1180) |
| 152WP0200X Optometrist, Pediatrics (Licence: FL OPC1180) | |
| 156FX1800X Technician/Technologist, Optician | |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2008-12-30 |