| NPI | 1104046267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE O ARTEAGA Licensed Optician Owner 772-878-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: FL DO3422) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2020-08-22 |