| NPI | 1417058553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX TREPETIN Owner Operator 972-681-7865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: CA 17822) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2010-03-23 |