| NPI | 1386067676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE A ROMERO Administrator 281-492-1209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: TX DR4070) |
| Additional Taxonomies | 152W00000X Optometrist |
| 156FC0800X Technician/Technologist Contact Lens | |
| 156FC0801X Technician/Technologist Contact Lens Fitter | |
| 156FX1800X Technician/Technologist Optician | |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2025-02-20 |