| NPI | 1689245011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MARK LASKERR Pres/CEO 813-713-6936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management |
| 152WP0200X Optometrist Pediatrics | |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2021-07-07 |