| NPI | 1942471974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L DORAZIO Optometrist 505-863-5747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NM 328) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-06-05 |