| NPI | 1760938369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY REYNOLDS VP Retail Managed Care 210-524-6515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2017-01-10 |