NPI | 1558419085 |
---|---|
Entity Type | Organization |
Authorized Contact | DICK A. CHLEBINA Optometrist 941-747-1831 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OP1820) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL OP952) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2012-06-01 |