| NPI | 1700924636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS STEINFELD President 912-234-9214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA 302625951) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: GA 302625951) |
| 152WP0200X Optometrist Pediatrics (Licence: GA 302625951) | |
| 152WS0006X Optometrist Sports Vision (Licence: GA 302625951) | |
| 152WX0102X Optometrist Occupational Vision (Licence: GA 302625951) | |
| 156FC0800X Technician/Technologist Contact Lens (Licence: GA 302625951) | |
| 156FC0801X Technician/Technologist Contact Lens Fitter (Licence: GA 302625951) | |
| 156FX1800X Technician/Technologist Optician (Licence: GA 302625951) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2013-01-07 |