| NPI | 1902097306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEWENSON Owner 813-885-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2017-12-06 |