| NPI | 1578004354 |
|---|---|
| Doing Business As | BROOKSVILLE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | WILLIAM TOLEDO Owner 352-796-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2019-03-07 |