| NPI | 1659072080 |
|---|---|
| Doing Business As | MY EYELAB |
| Entity Type | Organization |
| Authorized Contact | DANIEL GARZA Managed Care Manager 619-357-6146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |