NPI | 1821561671 |
---|---|
Entity Type | Organization |
Authorized Contact | EFRAIN DOMINGUEZ ARIAS Owner 787-405-0960 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2019-01-04 |
Last Update Date | 2019-01-04 |