| NPI | 1578326971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL RITCH Owner/President 904-769-9266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-04-16 |