| NPI | 1528340635 |
|---|---|
| Doing Business As | OPTICAL AT BOND CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEPHEN F. PHILLIPS Director 863-299-8908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |