| NPI | 1538492285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE ANNE CHURCH President /Owner 813-494-3272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC3438) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |