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 |