| NPI | 1538432661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY JOEEN WATSON Owner/Optician 321-799-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL DO3137) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL DO2482) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |