| NPI | 1396805552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT P BALGLEY Licensed Optician 954-739-4868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |