| NPI | 1568575397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY LINDSEY Office Manager 772-461-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: FL D04035) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2010-09-21 |