| NPI | 1902860562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN E. CERDA Owner/O PT Ometrist 956-783-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2012-02-22 |