| NPI | 1295040202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KENNETH GROFIK President 321-253-9228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC1649) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC1649) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2013-07-16 |