| NPI | 1649231143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE TOLEDO Optician 352-796-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2018-07-09 |