| NPI | 1669765251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND R RENDON Ocularist 408-297-4850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1700X Technician/Technologist, Ocularist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2020-12-10 |