| NPI | 1598068991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRESTON HENRY STARKS O PT Ometrist 904-564-4177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 2779) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2011-02-04 |