| 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 |