| NPI | 1295970036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI MARIE FREY Optometrist/President 772-621-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC3619) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2011-10-03 |