NPI | 1174730352 |
---|---|
Doing Business As | OPTIMART, INC. #02 |
Entity Type | Organization |
Authorized Contact | GREGORY LOUIS MATHIS Administrator 727-914-8615 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: FL OE392) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2020-07-01 |