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 |