| NPI | 1700283553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL SALAS President 305-362-4020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL DO4836) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: FL DO4836) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2015-10-20 |