| NPI | 1184900235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY REYNOLDS Mvc Director 210-524-6515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2018-06-27 |