| NPI | 1801094933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANDERSON President 239-297-2883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC 3770) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-26 |