| NPI | 1821658949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZORY MARY FELICIANO GONZALEZ Optico 939-270-1803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-07-17 |