| NPI | 1285293084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL PEREZ Manager 305-401-2163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens |
| 156FX1800X Technician/Technologist, Optician | |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2020-03-09 |