| NPI | 1295971141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VILMARIE TALAVERA O PT Ometrist 787-815-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-12-24 |
| Last Update Date | 2008-12-24 |