| NPI | 1700479706 |
|---|---|
| Doing Business As | ECB VEGA ALTA |
| Entity Type | Organization |
| Authorized Contact | FRANCIS D MEDINA Owner 787-782-2175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-02-19 |