NPI | 1851944300 |
---|---|
Entity Type | Organization |
Authorized Contact | JACKIE BENNETT Credentialing Supervisor 561-433-6009 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2019-07-23 |
Last Update Date | 2021-02-19 |