NPI | 1780165084 |
---|---|
Doing Business As | MY EYELAB |
Entity Type | Organization |
Authorized Contact | JACKIE BENNETT Credentialing Specialist 561-433-6009 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2018-08-24 |
Last Update Date | 2021-03-08 |