| NPI | 1255657458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GISELLE ROMAN Optometrist 787-650-5855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2010-04-13 |