| NPI | 1285101998 |
|---|---|
| Former Legal Business Name | EYEWEAR SHOP |
| Entity Type | Organization |
| Authorized Contact | CARMEN I ORONA Optician 787-630-3025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |