NPI | 1831286202 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID C BROWN CEO President 239-939-3456 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME11076) |
Additional Taxonomies | 152W00000X Optometrist |
207W00000X Ophthalmology | |
Enumeration Date | 2006-10-06 |
Last Update Date | 2019-08-05 |