| NPI | 1598915456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M. MALLENS Owner 787-870-2960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: PR 755) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2009-09-30 |