| NPI | 1124627278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN COTTER Certified Optician 214-801-5313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |