| NPI | 1548535149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES N. HOWELL Owner 904-725-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics |
| 152WS0006X Optometrist, Sports Vision | |
| 152WX0102X Optometrist, Occupational Vision | |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-16 |