| NPI | 1932424496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANN LOUISE TUCKER President/Owner 352-361-5205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL FL OPC #1977) |
| Enumeration Date | 2010-03-28 |
| Last Update Date | 2010-03-28 |