NPI | 1578864310 |
---|---|
Other Name | PAMELA HEIPLE |
Entity Type | Organization |
Authorized Contact | PAMELA RAE HEIPLE Optometrist 321-508-0793 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC002725) |
Enumeration Date | 2010-11-10 |
Last Update Date | 2014-02-18 |