| NPI | 1114453537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PAGAN Treasurer 787-303-0470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |