| NPI | 1164633665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG NEWCOM VP Business Development 210-524-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |