| NPI | 1093982720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: GA GA1683) |
| Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens (Licence: GA LDO1683) |
| 156FX1800X Technician/Technologist, Optician (Licence: GA GA1683) | |
| 246ZB0301X Specialist/Technologist, Other, Biomedical Engineering (Licence: GA GA1683) | |
| 156FC0800X Technician/Technologist, Contact Lens (Licence: GA GA1683) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: GA GA1683) | |
| 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: GA GA1683) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2017-02-08 |