NPI | 1790066553 |
---|---|
Entity Type | Organization |
Authorized Contact | BYRON WILLIAM LEEDS President 407-249-8666 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: FL 3303) |
Enumeration Date | 2011-09-07 |
Last Update Date | 2012-02-01 |