NPI | 1740578079 |
---|---|
Doing Business As | WEB EYE STORE |
Entity Type | Organization |
Authorized Contact | JOSE ANTHONY GONZALES Supervising O PT Ician 888-898-5367 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: NY 5743-1) |
Enumeration Date | 2011-07-20 |
Last Update Date | 2011-07-20 |