| NPI | 1487350179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS TOLEDO CEO 443-970-9044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2023-07-02 |