| NPI | 1376019828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MENDOZA Optician/President 787-608-5682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |