| NPI | 1508301367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE BLISS DEE-REYES Chief Optometric Physician 239-992-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OP0002994) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |