| NPI | 1891023628 |
|---|---|
| Doing Business As | EAST OAK OPTICAL |
| Entity Type | Organization |
| Authorized Contact | SHAUN JEROME SMALL President 813-443-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC0003984) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2009-12-07 |