| NPI | 1770180721 |
|---|---|
| Doing Business As | MY EYELAB |
| Entity Type | Organization |
| Authorized Contact | JACKIE BENNETT Credentialing Manager 619-357-6146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2021-02-17 |