| NPI | 1144209172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE BERNAL Controller 915-591-9483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1201X Technician/Technologist, Optometric Assistant |
| 156FX1800X Technician/Technologist, Optician | |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2007-07-16 |