NPI | 1932530755 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES DANIEL CHAMBERLAIN President 904-206-4378 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC1462) |
Enumeration Date | 2013-12-04 |
Last Update Date | 2013-12-04 |