| NPI | 1295937803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RICHARD CARR Vice President 941-758-4902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL opc2983) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL opc3541) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2008-10-02 |