| NPI | 1528274651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN NEWMAN Administration 941-378-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2016-05-03 |