| NPI | 1932845559 |
|---|---|
| Doing Business As | OPTOMETRY IN THE SQUARE |
| Entity Type | Organization |
| Authorized Contact | DIANA HOLCOMB Credentialing 726-444-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2023-11-01 |