| NPI | 1487127759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAROCK GONZALEZ ROMAN Owner 939-630-4602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |