| NPI | 1609178037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY J HALLOCK Principal/Owner/Doctor 407-277-1140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC001352) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |