| NPI | 1720267453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA HART Secrectary/Optometrist 239-936-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC00002601) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2008-07-08 |