| NPI | 1407151335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ALAN GREENE Optometrist/Owner 904-471-8750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL FL1648) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |