| NPI | 1649443060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE L HAGOPIAN President 262-705-8947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1202X Technician/Technologist, Optometric Technician |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2015-05-12 |