| NPI | 1407605322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR RIVERA MOJICA President/Owner 939-465-1288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2025-01-15 |