| NPI | 1467153601 |
|---|---|
| Doing Business As | OPTICA LATINA |
| Doing Business As | EYE CARE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | MATTHEW BROBERG Owner 913-717-9296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-03-14 |