| NPI | 1689649261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY PAPPAS Administrator 407-834-7776 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 152W00000X Optometrist | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2017-01-03 |