| NPI | 1376896647 |
|---|---|
| Doing Business As | LA OPTICA |
| Entity Type | Organization |
| Authorized Contact | MARIO FAJARDO Administrator 661-847-8348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |