| NPI | 1790804664 | 
|---|---|
| Doing Business As | TALLAHSSEE EYE CENTER | 
| Entity Type | Organization | 
| Authorized Contact | SUSAN S WHALEY Manager 850-671-3936  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OP2689)  | 
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC3457)  | 
| Enumeration Date | 2007-03-29 | 
| Last Update Date | 2017-10-19 |