| NPI | 1285626275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILVIANO J MATAMOROS President 772-337-5332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2010-01-27 |