| NPI | 1790824134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT H. FIER Owner 772-286-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME30598) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 3339) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2009-03-17 |