| NPI | 1801113725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GUILLERMO ACOSTA Licensed Optician 239-334-2015 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2010-05-02 |
| Last Update Date | 2010-05-02 |