| NPI | 1962019471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH KATHRYN VAWTER President 941-224-9382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |