| NPI | 1255106365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAKEIYA PERRY CEO 000-000-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 156FC0800X Technician/Technologist Contact Lens | |
| 156FC0801X Technician/Technologist Contact Lens Fitter | |
| 156FX1100X Technician/Technologist Ophthalmic | |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |