| NPI | 1598564502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY ALMODOVAR Owner Licensed Optician 772-206-0476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 156FC0801X Technician/Technologist, Contact Lens Fitter |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-08-20 |