| NPI | 1376217026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GARZA Credentialing Manager 210-843-1393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-08-05 |