| NPI | 1013218890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR A RUBIO Director 915-269-9421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2024-06-21 |