Whalio Doctors

NPI 1215428073

Kdj Enterprises, LLC

Organisation Optometrist Gainesville, FL

Practice location

Address
3321 SW Archer Rd, Gainesville, FL 32608-1745
Phone
(561) 275-2020

Authorised official

Name
Jackie Bennett
Title
Credentialing Specialist
Phone
(561) 433-6009

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X

Registry record

NPI
1215428073
Entity type
Organization
NPI issued
28 May 2018
Record last updated
28 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.