L Bruce Fosen Od Pa Valid NPI

Organization · Optometrist · Ocala, FL

NPI

1770764920

Type

Organization (Type 2)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

OPC 887 (FL)

Enumerated

2007-11-15

Last updated

2013-05-28