NPI | 1861797482 |
---|---|
Doing Business As | DE VISTA OPTICAL |
Entity Type | Organization |
Authorized Contact | DORA REYES Owner 305-223-6142 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL OE879) |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2011-01-12 |
Last Update Date | 2011-12-09 |