| NPI | 1770593295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY J LATOUR Optometrist President 386-462-7772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC0001543) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-10-22 |