| NPI | 1336302926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIENE NICHOLS YZENAS Licsensed O PT Ician 941-365-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL OE956) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |