| NPI | 1306004171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | F DONALD COLLEY O PT Ometrist/President 850-433-0327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL OPC811) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2009-01-20 |