| NPI | 1245486927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE MOREJON Owner 305-888-5166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL OE1622) |
| Additional Taxonomies | 156FX1201X Technician/Technologist, Optometric Assistant (Licence: FL OE 1622) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2018-06-12 |