| NPI | 1801371539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL MUNIZ Owner 786-391-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2020-12-16 |