| NPI | 1497923122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HILL COPPEDGE Vice President 352-796-2141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2009-02-03 |