| NPI | 1679013932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA VOROBEVA President/Optometrist 904-477-8469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4592) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |