| NPI | 1760784466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH CHARLES Owner 786-619-1126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: FL 4907) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |