| NPI | 1326372061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANAA MALIK HABASHI Optometrist/Owner 904-994-0458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC3588) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-11-27 |