| NPI | 1861187403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALINA KINDT CFO / Managing Member 669-237-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 225XL0004X Occupational Therapist, Low Vision |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-04-14 |