| NPI | 1851675003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J LICATA Manager/Optician 480-632-5075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AZ 1185e) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |