| NPI | 1477874253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT H PETERMANN Owner 229-244-2068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 152WC0802X Optometrist, Corneal and Contact Management | |
| 152WP0200X Optometrist, Pediatrics | |
| 152WS0006X Optometrist, Sports Vision | |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2013-02-13 |