| NPI | 1467177360 |
|---|---|
| Doing Business As | EYE CENTER BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | CARLOS NEVARES Vice President 939-644-1781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-04 |