| NPI | 1932822723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA NAZARIO LAZO President 787-830-4393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-09-26 |