| NPI | 1154631174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGELIO BERDEAL President 813-877-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2018-01-16 |