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 |