| NPI | 1619703006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON CHAD BAZHAW Chief Revenue Officer 469-270-6658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2025-03-04 |