| NPI | 1013617133 |
|---|---|
| Doing Business As | EYE CENTER BOUTIQUE DADELAND MALL |
| Entity Type | Organization |
| Authorized Contact | MADELYNE CAJIGAS President 939-644-4610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-03-09 |