NPI | 1376569038 |
---|---|
Doing Business As | ADVANCED OPTICAL |
Entity Type | Organization |
Authorized Contact | MARY A PENA-ROQUE Optician 772-770-0113 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL DO2093) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2015-07-16 |