| NPI | 1467908228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY D STUART Licensed Optician 407-896-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL DO6032) |
| Additional Taxonomies | 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: FL DO6032) |
| 156FX1800X Technician/Technologist, Optician (Licence: FL DO6032) | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |