| NPI | 1669505293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN BRIENEN Office Administrator 239-597-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC2980) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |