| NPI | 1659612315 |
|---|---|
| Doing Business As | ULTRA EYEWEAR OPTICAL |
| Entity Type | Organization |
| Authorized Contact | CANDELARIO VILLANUEVA President 907-562-2845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: AK AA-159) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |