| NPI | 1639806847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA A DE PAZ Optician 939-644-1398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2022-08-07 |
| Last Update Date | 2022-08-07 |