| NPI | 1932434891 |
|---|---|
| Former Legal Business Name | OPTICS SOHO PA |
| Entity Type | Organization |
| Authorized Contact | GREGORY L HENDERSON President 813-681-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC2224) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2023-07-12 |