| NPI | 1275716433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTY R LEGGETT Owner 352-391-2967 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC2242) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OC0002242) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2013-01-02 |