| NPI | 1265464093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON ANTHONY STAPLETON Optometrist 863-660-3287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL ocp 000001973) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |