| NPI | 1619963493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS H NEWSOM President 813-908-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2021-01-05 |