NPI | 1811960479 |
---|---|
Entity Type | Organization |
Authorized Contact | MARGARET DIGAETANO Physician Owner 386-255-5050 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2013-01-25 |