| NPI | 1528728995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIDEL ALEXANDER PANTOJA Owner 210-580-3316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2021-12-27 |