| NPI | 1326715251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIANETTE LARIA O PT Ometrist/Owner 305-225-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2021-10-15 |