| NPI | 1619016607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT H. FIER Owner 772-878-3437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME30598) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL POC 3339) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2015-09-09 |