| NPI | 1396932232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG R PATAKY Board Certified Ocularist 512-452-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1700X Technician/Technologist Ocularist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2011-05-26 |