| NPI | 1629371695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONCIO V GONZALEZ O PT Ometrist 305-220-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL OP 2772) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2011-09-28 |