| NPI | 1780830380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A. COOK President/ Optometrist 813-973-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 3439) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2009-01-27 |