| NPI | 1154867554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD MITCHELL Owner/ Visual Resource Director 850-758-0474 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2019-10-23 |