| NPI | 1942795331 |
|---|---|
| Doing Business As | EYE CENTER BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | FABIAN VALLES Owner 787-360-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: PR 343) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2023-02-14 |