| NPI | 1134827199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSUE ROJA President 305-717-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 152W00000X Optometrist |
| 156FC0800X Technician/Technologist, Contact Lens | |
| 156FX1202X Technician/Technologist, Optometric Technician | |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-20 |