NPI | 1285670117 |
---|---|
Doing Business As | EYES AT THE VILLAGES |
Entity Type | Organization |
Authorized Contact | TRACY MICHELLE MASTERS Administrator 352-753-9888 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME0071525) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC2612) |
207W00000X Ophthalmology (Licence: FL ME89546) | |
Enumeration Date | 2006-06-20 |
Last Update Date | 2010-08-18 |