| NPI | 1982883229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WYATT R TAYLOR President/Optometrist 850-584-2408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC00784) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2009-08-14 |