| NPI | 1770885097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS GONZALEZ President 305-442-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: FL OE1967) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2011-01-18 |