| NPI | 1699957860 |
|---|---|
| Doing Business As | SOUTH MALL OPTICAL |
| Entity Type | Organization |
| Authorized Contact | VICTOR F ALVARADO Owner 210-922-1163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2008-07-18 |