| NPI | 1609908300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY L CARSON Optician President 727-942-1289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL 003731) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |