| NPI | 1902277577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD FRANKLIN ELLISON Optometrist 407-678-9151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL OPC4124) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |