NPI | 1578326385 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA CAMERON President 352-234-0802 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
152WL0500X Optometrist, Low Vision Rehabilitation | |
Enumeration Date | 2024-02-05 |
Last Update Date | 2024-07-26 |