| NPI | 1932439395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD GLENN PURCELL President 386-255-9585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL opc003512) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2010-01-07 |