| NPI | 1467502658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA D'ONOFRIO President 954-433-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: FL DO 2314) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |