| NPI | 1518545813 | 
|---|---|
| Doing Business As | MY EYELAB | 
| Entity Type | Organization | 
| Authorized Contact | DANIEL GARZA Credentialing Manager 210-843-1393 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) | 
| Additional Taxonomies | 152W00000X Optometrist | 
| Enumeration Date | 2021-03-30 | 
| Last Update Date | 2022-01-19 |