| NPI | 1194073361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES WITHERINGTON Optometrist/Owner 239-541-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL Opc1595) |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2012-08-20 |