| NPI | 1770809683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN HEGETSCHWEILER Optometrist 352-242-1615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC2182) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |