| NPI | 1427833326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINE CRUZ Owner 787-519-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2025-05-13 |