| NPI | 1427255918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HANNAN Vice President O PT Ician 561-746-5910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL DO1417) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2007-07-20 |