NPI | 1134870652 |
---|---|
Doing Business As | MY EYELAB |
Entity Type | Organization |
Authorized Contact | DANIEL GARZA Managed Care Director 561-720-6423 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2022-01-17 |
Last Update Date | 2022-01-17 |