| NPI | 1740531417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO CEPERO President 305-858-4057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4698) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL DO3239) |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2012-10-05 |