| NPI | 1386216091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JUARBE CEO 787-653-2275 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2021-07-13 |