| NPI | 1174275150 |
|---|---|
| Former Legal Business Name | NOVA OPTICAL |
| Entity Type | Organization |
| Authorized Contact | GISELLE M MALDONADO Propietaria 787-612-9301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-06-29 |