| NPI | 1740305689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY L. SLONE O PT Ician 772-286-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: FL OE 875) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |