| NPI | 1467663476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A STEPHENS President 850-893-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC935) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME71349) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2011-06-07 |