| NPI | 1760926935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL NGUYEN Owner 225-388-0028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: LA 207139) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |