| NPI | 1760008593 |
|---|---|
| Doing Business As | OPTICAL UPDEGRAFF LASER VISION |
| Entity Type | Organization |
| Authorized Contact | JOHN FOSTER Partner 727-822-4287 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |