| NPI | 1992953228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA LOUISE MANES President 561-296-3865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist Vision Therapy (Licence: FL OPC2192) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2015-05-09 |