| NPI | 1306551544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAIRA SANCHEZ Credentialing Contact 726-444-4043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-03-22 |