| NPI | 1215785811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL SALAS President 305-362-4020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2025-01-13 |