| NPI | 1295900728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER L TRAPHEAGEN Optometrist/President 239-745-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL OPC3636) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |