| NPI | 1285965277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN E. CARLSON Owner 813-979-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4262) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2011-05-10 |