| NPI | 1972789030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY B KLEIN President 352-796-4833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL OPC1805) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2016-12-02 |