| NPI | 1699356444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIRAM OLMEDA-RODRIGUEZ Optic/Owner 787-460-4255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2021-04-14 |