| NPI | 1497015630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB ROJAS Administrator 305-418-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |