| NPI | 1497954697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS FARIAS Owner 305-324-0490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: FL DO2329) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2019-07-18 |