| NPI | 1750977906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGUEDITA REYES Owner 787-397-2605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 152W00000X Optometrist |
| 156F00000X Technician/Technologist | |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2026-05-27 |