| NPI | 1336509207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GARY PLUMB VP 863-413-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: FL DO5653) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |