| NPI | 1700933397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTE CHAMBERLAIN Optician 772-567-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL OE 1) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |