| NPI | 1710864509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO AZUERO Owner 786-534-8933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-08-21 |