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 |