| NPI | 1043666803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE E SILVA Ophthalmic Dispenser 305-978-5683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NY 009867) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |