Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OPC5565 | FL |
NPI | 1013431600 |
---|---|
Provider Name | Dr. Megan Wohlers |
First Address | Tallahassee, FL 32308-4605 |
Second Address | Tallahassee, FL 32308-4605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2017 |
Last Update Date | 14/07/2021 |