NPI | 1316202070 |
---|---|
Doing Business As | TYSON EYE |
Entity Type | Organization |
Authorized Contact | FARRELL C TYSON Medical Director/Owner 239-542-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC3656) |
Enumeration Date | 2012-07-09 |
Last Update Date | 2012-07-09 |