| NPI | 1659447530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: FL 4356) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL 4356) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2022-11-12 |