NPI | 1780493916 |
---|---|
Entity Type | Organization |
Authorized Contact | NICHOLAS MOENGA Manager 678-226-1355 |
Organization Subpart ? | No |
Primary Taxonomy | 152WX0102X Optometrist, Occupational Vision |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2025-01-02 |
Last Update Date | 2025-01-02 |