| NPI | 1699887372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SCOTT KEELER Managing Employee/CEO 850-584-2778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC3983) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-08-07 |