| NPI | 1700924032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WAYNE MATTHEWS President 407-855-4581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC000862) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |