| NPI | 1457526147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY OTEGA WILLIAMS Owner 904-766-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WX0102X Optometrist, Occupational Vision (Licence: FL ob2437) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |