NPI | 1700263696 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE GIRISGEN CEO 702-580-7404 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2015-04-30 |
Last Update Date | 2015-08-20 |