| NPI | 1053132027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESITA A BOLLAR Owner 305-935-5250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-11-09 |