NPI | 1629754817 |
---|---|
Doing Business As | STANTON OPTICAL |
Entity Type | Organization |
Authorized Contact | DANIEL GARZA Managed Care Manager 561-720-6423 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2023-06-23 |
Last Update Date | 2023-06-23 |