| NPI | 1245576099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE BAEZ President 939-246-1079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WL0500X Optometrist Low Vision Rehabilitation |
| 152WP0200X Optometrist Pediatrics | |
| 152WS0006X Optometrist Sports Vision | |
| 152WV0400X Optometrist Vision Therapy | |
| 152WX0102X Optometrist Occupational Vision | |
| 156FC0800X Technician/Technologist Contact Lens | |
| 156FC0801X Technician/Technologist Contact Lens Fitter | |
| 156FX1201X Technician/Technologist Optometric Assistant | |
| 156FX1202X Technician/Technologist Optometric Technician | |
| 156FX1800X Technician/Technologist Optician (Licence: PR 480) | |
| 174H00000X Health Educator | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 332H00000X Eyewear Supplier | |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |