NPI | 1366324683 |
---|---|
Entity Type | Organization |
Authorized Contact | WESTON BENJAMIN ACOSTA Optomitrist 985-898-2001 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Additional Taxonomies | 152W00000X Optometrist |
261Q00000X Clinic/Center | |
Enumeration Date | 2025-07-25 |
Last Update Date | 2025-08-18 |