| NPI | 1164167698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY MARIE WILHITE Owner/Licensed Optician 727-937-6551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2022-12-12 |