| NPI | 1154592228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE NEAL Chief Executive Officer 844-377-6468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2020-11-30 |