| NPI | 1225581184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN SONIA KALLADANTHYIL CEO/Optometrist 813-850-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.010960) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |