| NPI | 1962670547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEE SCHROEDER Optician/Owner 239-275-7320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 5142) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-04-08 |