| NPI | 1427380120 |
|---|---|
| Doing Business As | 3D EYEWEAR |
| Entity Type | Organization |
| Authorized Contact | TAMIKO D DAVIS Licensed Optician 813-319-3904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 152W00000X Optometrist |
| 152W00000X Optometrist (Licence: FL ob3204) | |
| 152WP0200X Optometrist, Pediatrics | |
| 152WS0006X Optometrist, Sports Vision | |
| 156FC0800X Technician/Technologist, Contact Lens | |
| 156FC0801X Technician/Technologist, Contact Lens Fitter | |
| 156FX1101X Technician/Technologist, Ophthalmic Assistant (Licence: FL DO4826) | |
| 156FX1202X Technician/Technologist, Optometric Technician | |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2010-02-04 |