| NPI | 1518545813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GARZA Credentialing Manager 210-843-1393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2022-01-19 |