| NPI | 1750772174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLY ACELA GARCIA Optician 305-552-5595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: FL 2165) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |