| NPI | 1942182258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESTON BENJAMIN ACOSTA Sole Member 985-898-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2025-07-25 |
| Last Update Date | 2025-07-25 |