| NPI | 1336372101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURO LEIVA Owner/Optician 985-288-4464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: LA 22048) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |