| NPI | 1750579850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE M MEILER Account Representative 863-471-1413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC3395) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2013-10-16 |