| 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 |