| NPI | 1942475173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MICHAEL TUCKER Owner Optometrist 954-434-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC1120) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-05-16 |