| NPI | 1629240593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT L GELLER Administrator 239-275-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2012-01-31 |