| NPI | 1164460069 |
|---|---|
| Other Name | ADVANCED EYE CRE OF BAY CN |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN R HASTY President 850-784-3936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2023-03-13 |