| NPI | 1669418471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA M MOORE Patient Account Manager 512-314-1632 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-06-02 |