NPI | 1417946120 |
---|---|
Doing Business As | BAYSHORE EYE CARE |
Entity Type | Organization |
Authorized Contact | KENNETH WAYNE LAWSON Owner/Optometrist 941-751-4668 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2005-10-14 |
Last Update Date | 2010-05-27 |