| 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 |