| NPI | 1528423779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS THOMAS Owner/President 813-345-8544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: FL OPC2811) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2024-11-21 |