| NPI | 1285957233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDAL LINN HANSON President 239-936-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC3118) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2010-09-08 |