NPI | 1487012498 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY DOY SNODGRASS Owner, Managing Member 352-373-4300 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME50106) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC4920) |
Enumeration Date | 2016-02-04 |
Last Update Date | 2017-03-13 |