| NPI | 1912255365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL LOPEZ Optician 786-587-7404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL DO6361) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |