| NPI | 1609043785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD BRUCE COCHRAN O PT Ometrist 727-446-8186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL 853) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |