| NPI | 1336163773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND JOSEPH CASTRO Head Of Credentialing 305-418-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2008-04-20 |