| NPI | 1528393717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DWIGHT TEN HULZEN President 904-246-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME0080332) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2018-08-01 |