| NPI | 1447427638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND P HERRERA Owner 505-326-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NM 437) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2013-09-25 |