| NPI | 1083879787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFRAIN DOMINGUEZ Optician 787-736-2465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |