| NPI | 1851575278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISSETTE RAKUSA President/Opttician 305-669-3890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL OE1503) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2009-05-05 |