| NPI | 1255501946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN BASTONE Owner/President 352-669-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: FL FL3146) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |